Provider Demographics
NPI:1548217722
Name:ARREY PFR, INC.
Entity Type:Organization
Organization Name:ARREY PFR, INC.
Other - Org Name:MEDICINE SHOPPE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARREY
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:410-764-1112
Mailing Address - Street 1:5900 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-3481
Mailing Address - Country:US
Mailing Address - Phone:410-764-1112
Mailing Address - Fax:
Practice Address - Street 1:5900 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3481
Practice Address - Country:US
Practice Address - Phone:410-764-1112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5474530001332B00000X
MDP019093336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2117150OtherNCPDP #
MD2117150OtherNCPDP #
MD5474630001Medicare NSC