Provider Demographics
NPI:1023754165
Name:NEIGHBORHOOD MEDICAL SERVICES
Entity type:Organization
Organization Name:NEIGHBORHOOD MEDICAL SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGURO
Authorized Official - Middle Name:
Authorized Official - Last Name:DUWON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:449-292-0401
Mailing Address - Street 1:30393 SOUTHAMPTON BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2497
Mailing Address - Country:US
Mailing Address - Phone:443-929-0401
Mailing Address - Fax:
Practice Address - Street 1:100 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:MD
Practice Address - Zip Code:21830-2186
Practice Address - Country:US
Practice Address - Phone:443-978-8660
Practice Address - Fax:443-978-8698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty