Provider Demographics
NPI:1598908659
Name:B&A PHARMACY LLC
Entity Type:Organization
Organization Name:B&A PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCGARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:410-789-8454
Mailing Address - Street 1:4611 ASSEMBLY DR
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4371
Mailing Address - Country:US
Mailing Address - Phone:410-789-8454
Mailing Address - Fax:410-789-8456
Practice Address - Street 1:4611 ASSEMBLY DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4371
Practice Address - Country:US
Practice Address - Phone:410-789-8454
Practice Address - Fax:410-789-8456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-18
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPW03273336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD021812000Medicaid
024797900OtherMEDICIAD DME MD