Provider Demographics
NPI:1780495408
Name:MEDSTAR PHARMACIES INC
Entity type:Organization
Organization Name:MEDSTAR PHARMACIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER, CENTRAL PHARMACY SUPPORT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SARACINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-540-4492
Mailing Address - Street 1:7379 WASHINGTON BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6358
Mailing Address - Country:US
Mailing Address - Phone:410-540-4492
Mailing Address - Fax:
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2950
Practice Address - Country:US
Practice Address - Phone:443-444-4760
Practice Address - Fax:443-444-4726
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDSTAR PHARMACIES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty