NPI 1003228156

Mingocare INC

Organisation Community/Retail Pharmacy Dundalk, MD

Practice location

Address: 7444 Holabird Ave Suite 2, Dundalk, MD 21222-1845
Phone: (215) 917-0527
Mailing address: 3416 Henry Harford Dr, Abingdon, MD 21009-1123

Authorised official

Name: Mohamadou Ballo
Title: Manager
Phone: (215) 917-0527

Registered specialties

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence P06387 (MD)

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Registry record

NPI: 1003228156
Entity type: Organization
NPI issued: 23 May 2014
Record last updated: 21 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.