Provider Demographics
NPI:1467877266
Name:CHERRY HILL PHARMACEUTICAL CLINIC INC.
Entity Type:Organization
Organization Name:CHERRY HILL PHARMACEUTICAL CLINIC INC.
Other - Org Name:SOUTH BALTIMORE PHARMACY- BROOKLYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:LANEY
Authorized Official - Last Name:MARSIGLIA
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:410-355-8500
Mailing Address - Street 1:631 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-1228
Mailing Address - Country:US
Mailing Address - Phone:410-355-8500
Mailing Address - Fax:410-354-7161
Practice Address - Street 1:3540 S HANOVER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1732
Practice Address - Country:US
Practice Address - Phone:410-355-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy