Provider Demographics
NPI:1871246413
Name:ALLIANCE PHARMACY PLUS LLC
Entity Type:Organization
Organization Name:ALLIANCE PHARMACY PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:MUNONYE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:310-489-9982
Mailing Address - Street 1:3400 ANNAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-1120
Mailing Address - Country:US
Mailing Address - Phone:443-869-2512
Mailing Address - Fax:443-869-2709
Practice Address - Street 1:3400 ANNAPOLIS RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1120
Practice Address - Country:US
Practice Address - Phone:443-869-2512
Practice Address - Fax:443-869-2709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy