Provider Demographics
NPI:1437293818
Name:ANCHOR INC
Entity Type:Organization
Organization Name:ANCHOR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:OLOWOYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-558-0905
Mailing Address - Street 1:3325 E BALTIMORE ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2221
Mailing Address - Country:US
Mailing Address - Phone:410-558-0905
Mailing Address - Fax:410-558-0907
Practice Address - Street 1:3325 E BALTIMORE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2221
Practice Address - Country:US
Practice Address - Phone:410-558-0905
Practice Address - Fax:410-558-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15253183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5710620001Medicare ID - Type Unspecified