Provider Demographics
NPI:1750942512
Name:CITY ACCESS LLC
Entity type:Organization
Organization Name:CITY ACCESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:OLADEJI
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:240-701-4741
Mailing Address - Street 1:11466 CHERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3617
Mailing Address - Country:US
Mailing Address - Phone:240-701-4741
Mailing Address - Fax:
Practice Address - Street 1:11466 CHERRY HILL RD
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3617
Practice Address - Country:US
Practice Address - Phone:240-241-4853
Practice Address - Fax:301-477-4191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-24
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy