NPI 1013072446

Park Lane Pharmacy

Organisation Community/Retail Pharmacy Baltimore, MD

Practice location

Address: 4259 Park Heights Ave, Baltimore, MD 21215-6740
Phone: (410) 466-8001
Fax: (410) 466-8304

Authorised official

Name: Emmanuel Bajulaiye
Title: Owner
Phone: (410) 466-8001

Registered specialties (2)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence P03053 (MD)

Other Pharmacy providers in Maryland →

Pharmacy

Suppliers Taxonomy 333600000X

Registry record

NPI: 1013072446
Entity type: Organization
NPI issued: 26 Dec 2006
Record last updated: 21 Jul 2016

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.