Provider Demographics
NPI:1659818383
Name:THE PHARMACIA
Entity Type:Organization
Organization Name:THE PHARMACIA
Other - Org Name:THE PHARMACIA AT MT. WASHINGTON MILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BADR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-388-8710
Mailing Address - Street 1:1340-A SMITH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3736
Mailing Address - Country:US
Mailing Address - Phone:443-388-8710
Mailing Address - Fax:443-869-3607
Practice Address - Street 1:1340 - A SMITH AVENUE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3736
Practice Address - Country:US
Practice Address - Phone:443-388-8710
Practice Address - Fax:443-869-3607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP06043332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies