Provider Demographics
NPI:1336922681
Name:VOSHELL'S PHARMACY, INC
Entity Type:Organization
Organization Name:VOSHELL'S PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACY IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:TRIEU
Authorized Official - Middle Name:
Authorized Official - Last Name:BAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-281-9157
Mailing Address - Street 1:3455 WILKENS AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-5204
Mailing Address - Country:US
Mailing Address - Phone:410-644-8400
Mailing Address - Fax:410-368-5110
Practice Address - Street 1:3455 WILKENS AVE STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5204
Practice Address - Country:US
Practice Address - Phone:410-644-8400
Practice Address - Fax:410-368-5110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy