Provider Demographics
NPI:1881234904
Name:THE PHARMACIA
Entity type:Organization
Organization Name:THE PHARMACIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHIR
Authorized Official - Middle Name:
Authorized Official - Last Name:BADR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-509-0357
Mailing Address - Street 1:1809 REISTERSTOWN RD STE 115
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6329
Mailing Address - Country:US
Mailing Address - Phone:410-559-1750
Mailing Address - Fax:410-559-1740
Practice Address - Street 1:1809 REISTERSTOWN RD STE 115
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-6329
Practice Address - Country:US
Practice Address - Phone:410-559-1750
Practice Address - Fax:410-559-1740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP08217OtherMARYLAND BOARD OF PHARMACY LICENSE