Provider Demographics
NPI:1659436798
Name:UNION HOSPITAL OF CECIL COUNTY INC
Entity Type:Organization
Organization Name:UNION HOSPITAL OF CECIL COUNTY INC
Other - Org Name:UNION HOSP OF CECIL CTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHCY
Authorized Official - Prefix:
Authorized Official - First Name:SHYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KARKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD FCCP
Authorized Official - Phone:410-392-7074
Mailing Address - Street 1:106 BOW ST
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5544
Mailing Address - Country:US
Mailing Address - Phone:410-392-7072
Mailing Address - Fax:410-382-9529
Practice Address - Street 1:106 BOW ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5544
Practice Address - Country:US
Practice Address - Phone:410-392-7072
Practice Address - Fax:410-382-9529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP007963336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2038212OtherPK