Provider Demographics
NPI:1184108078
Name:ALLENTOWN DISCOUNT PHARMACY
Entity type:Organization
Organization Name:ALLENTOWN DISCOUNT PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:ADEWALE
Authorized Official - Last Name:MAJOLAGBE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:240-855-0227
Mailing Address - Street 1:7069 ALLENTOWN RD
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-5301
Mailing Address - Country:US
Mailing Address - Phone:240-855-0227
Mailing Address - Fax:240-254-3185
Practice Address - Street 1:7069 ALLENTOWN RD
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-5301
Practice Address - Country:US
Practice Address - Phone:240-755-1226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRECISIONRX,LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-18
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy