| NPI | 1265536221 |
|---|---|
| Doing Business As | STATE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JERRY BERGER President 410-665-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD P00771) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2020-08-22 |