Provider Demographics
NPI:1861720526
Name:ANNE ARUNDEL MEDICAL CENTER PHARMACY
Entity type:Organization
Organization Name:ANNE ARUNDEL MEDICAL CENTER PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:G
Authorized Official - Last Name:FERRARI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:443-481-4175
Mailing Address - Street 1:2003 MEDICAL PKWY STE 130
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7924
Mailing Address - Country:US
Mailing Address - Phone:443-481-4176
Mailing Address - Fax:443-481-4185
Practice Address - Street 1:2003 MEDICAL PKWY STE 130
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7924
Practice Address - Country:US
Practice Address - Phone:443-481-4176
Practice Address - Fax:443-481-4185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
MDP066743336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy