Provider Demographics
NPI:1912447889
Name:ALSBIZ GROUP INC.
Entity Type:Organization
Organization Name:ALSBIZ GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ROTIMI
Authorized Official - Middle Name:OLAWALE
Authorized Official - Last Name:FAGBEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-432-4572
Mailing Address - Street 1:3539 DOLFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-6125
Mailing Address - Country:US
Mailing Address - Phone:410-466-0322
Mailing Address - Fax:410-466-0324
Practice Address - Street 1:3539 DOLFIELD AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-6125
Practice Address - Country:US
Practice Address - Phone:410-466-0322
Practice Address - Fax:410-466-0324
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREMIER CARE PHARMACY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-27
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23198333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy