Provider Demographics
NPI:1700342896
Name:MENDEL PHARMACY INC
Entity Type:Organization
Organization Name:MENDEL PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:NNAMDI
Authorized Official - Last Name:ONYEACHONAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D , RPH
Authorized Official - Phone:301-735-2221
Mailing Address - Street 1:9131 PISCATAWAY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2578
Mailing Address - Country:US
Mailing Address - Phone:301-242-3190
Mailing Address - Fax:301-242-3198
Practice Address - Street 1:9131 PISCATAWAY RD STE 200
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2578
Practice Address - Country:US
Practice Address - Phone:301-242-3190
Practice Address - Fax:301-242-3198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy