Provider Demographics
NPI:1518286863
Name:AMERICAN MARITIME HOLDINGS INC
Entity Type:Organization
Organization Name:AMERICAN MARITIME HOLDINGS INC
Other - Org Name:AMH HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACYDIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-233-9055
Mailing Address - Street 1:816 INDUSTRIAL AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-2615
Mailing Address - Country:US
Mailing Address - Phone:757-233-9055
Mailing Address - Fax:757-217-0272
Practice Address - Street 1:816 INDUSTRIAL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-2615
Practice Address - Country:US
Practice Address - Phone:757-233-9055
Practice Address - Fax:757-217-0272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-26
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0002X
VA02010043413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
4842301OtherNCPDP PROVIDER IDENTIFICATION NUMBER