Provider Demographics
NPI:1659656932
Name:PHARMACARE AT GBMC, LLC
Entity type:Organization
Organization Name:PHARMACARE AT GBMC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:443-512-8966
Mailing Address - Street 1:2227 OLD EMMORTON RD
Mailing Address - Street 2:SUITE122
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6187
Mailing Address - Country:US
Mailing Address - Phone:449-512-8966
Mailing Address - Fax:443-512-8887
Practice Address - Street 1:6535 N CHARLES ST
Practice Address - Street 2:SUITE 135
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5826
Practice Address - Country:US
Practice Address - Phone:443-895-4955
Practice Address - Fax:443-895-4652
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHARMACARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP055673336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy