COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC


Address: 3305 Garrison Blvd, Baltimore, MD 21216-1323
Phone: 4103673305

COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC (NPI# 1831446574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831446574
Entity Type Organization
Organization Name COLLABORATE CARE PHARMACY & WELLNESS CENTER LLC
Practice Address 3305 Garrison Blvd
Baltimore
MD 21216-1323
Practice Telephone 4103673305
Practice Fax Number 4103673311
Mailing Telephone 4103673305
Mailing Fax Number 4103673311
Enumeration Date 2012-08-13
Last Update Date 2013-02-06
Authorized Official Name DR. JANET EGBE AYUK (CLINICAL PHARMACIST / OPERATIONS MA)
Authorized Official Telephone 4105986486
Authorized Official Credential BSPHARM,PHARMD,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
13096 MD Ambulatory Health Care Facilities

Office Location

Street Address 3305 GARRISON BLVD
City BALTIMORE
State MD
Zip Code 21216-1323

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144831157 Carepoint Pharmacy and Medical Supplies, LLC Pharmacy 3305 Garrison Blvd, Baltimore, MD 21216-1323 2020-08-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083279343 Matanmi Olusesan Kuforiji Social Worker 2300 Garrison Boulevard Suite 101, Baltimore, MD 21216 2019-05-02
1003389602 Michelle Antoinette Goines Social Worker 1522 N Ellamont St, Baltimore, MD 21216 2019-01-07
1780178764 Lifespring Laboratories Clinical Medical Laboratory 2200 Garrison Blvd Ste 3013, Baltimore, MD 21216 2018-06-21
1467980896 Patricia Ann Harriott Counselor 3312alto Rd., Baltimore, MD 21216 2017-05-30
1538549209 Baltimore Podiatry Group, Dr. Benjamin Kleinman, P.a. Durable Medical Equipment & Medical Supplies 2300 Garrison Blvd., Suite 105, Baltimore, MD 21216 2015-06-08
1649461500 Issac Corrette Evans Jr. Adult Companion 2810 Harlem Ave, Baltimore, MD 21216 2007-08-06
1396824959 Linda S Miles Dentist 4155 Patterson Ave, Baltimore, MD 21216 2006-11-03
1902913197 Miriam W Ingram Nurse Practitioner 3102 N Hilton Street, Baltimore, MD 21216 2006-08-24
1326065905 Linda P Weisburger Nurse Practitioner 2001 N Warwick Ave, Baltimore, MD 21216 2006-07-17
1972502680 Shavon Trenice Darden Nurse Practitioner 2601 W North Ave, Hhsb Suite 131, Baltimore, MD 21216 2005-07-15
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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1922597780 Catherine Talbot Murphy Clinic/Center 1994 Cromwell Bridge Rd, Baltimore, MD 21234-1418 2018-05-08
1679073498 Impacting Tomorrow Health Center Clinic/Center 1120 N Charles St Ste 500, Baltimore, MD 21201-5518 2018-02-19
1104326487 Epiphany Family Services- Maryland LLC Clinic/Center 5900 York Rd Ste 202, Baltimore, MD 21212-3098 2018-02-13
1184134538 We Did Dat Recovery Center Clinic/Center 609 George St, Baltimore, MD 21201-1353 2017-10-11
1730629486 Plesant Housing Behavioral Services Clinic/Center 114 E 25th St, Baltimore, MD 21218-5214 2017-02-28
1801264841 Homecentris Community Care, LLC Clinic/Center 3617 Fords Ln, Baltimore, MD 21215-2900 2015-09-08
1093183030 Homecentris Community Care, LLC Clinic/Center 1500 Bedford Ave, Baltimore, MD 21208 2015-09-08
1831508829 Kelli K Mccallum Clinic/Center 3721 Chesmont Ave, Baltimore, MD 21206-5041 2014-08-05
1962782532 Shepherd's Clinic Clinic/Center 2800 Kirk Ave, Baltimore, MD 21218-3647 2011-08-26
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Competitor

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City BALTIMORE
Zip Code 21216

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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