Provider Demographics
NPI:1720188048
Name:HOMECALL PHARMACEUTICAL SERVICES, INC
Entity Type:Organization
Organization Name:HOMECALL PHARMACEUTICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURRUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-309-2533
Mailing Address - Street 1:10200 OLD COLUMBIA RD
Mailing Address - Street 2:SUITE M & N
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2360
Mailing Address - Country:US
Mailing Address - Phone:410-309-2500
Mailing Address - Fax:410-309-2601
Practice Address - Street 1:10200 OLD COLUMBIA RD
Practice Address - Street 2:SUITE M & N
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2360
Practice Address - Country:US
Practice Address - Phone:410-309-2500
Practice Address - Fax:410-309-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP01888251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1065340001Medicare NSC