Provider Demographics
NPI:1730126178
Name:WEEMS CREEK PHARMACY
Entity Type:Organization
Organization Name:WEEMS CREEK PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LACHAPELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-266-1177
Mailing Address - Street 1:600 RIDGELY AVE
Mailing Address - Street 2:SUITE 125
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1001
Mailing Address - Country:US
Mailing Address - Phone:410-266-1177
Mailing Address - Fax:410-266-8651
Practice Address - Street 1:600 RIDGELY AVE
Practice Address - Street 2:SUITE 125
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1001
Practice Address - Country:US
Practice Address - Phone:410-266-1177
Practice Address - Fax:410-266-8651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07229183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0182350001Medicare ID - Type Unspecified