Provider Demographics
NPI:1649416587
Name:CLINICAL PHARMACY ASSOCIATES, INC
Entity Type:Organization
Organization Name:CLINICAL PHARMACY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KEEYS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, BCPS,RPH
Authorized Official - Phone:301-617-0555
Mailing Address - Street 1:316 TALBOTT AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4334
Mailing Address - Country:US
Mailing Address - Phone:301-617-0555
Mailing Address - Fax:301-617-0228
Practice Address - Street 1:316 TALBOTT AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4334
Practice Address - Country:US
Practice Address - Phone:301-617-0555
Practice Address - Fax:301-617-0228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-24
Last Update Date:2008-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPH20541835P0018X
MD110421835P0018X
VA02020102141835P0018X
PARP031210L1835P0018X
KY0140371835P0018X
SC0111431835P0018X
MD2973911835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Multi-Specialty
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty