Whalio Doctors

NPI 1215397385

Lifeway Holdings LLC

Organisation Community/Retail Pharmacy Dundalk, MD

Practice location

Address
700 Merritt Blvd Suite 1a, Dundalk, MD 21222
Phone
(443) 530-3731
Fax
(443) 530-3859

Authorised official

Name
Edmond Isaac Ngazal
Title
Director/Pharmacist I/C
Phone
(443) 531-3107

Registered specialties (2)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence P07159 (MD)
Pharmacy
Suppliers Taxonomy 333600000X

Registry record

NPI
1215397385
Entity type
Organization
NPI issued
2 Mar 2016
Record last updated
11 Aug 2022

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.