| Organization Name: | WASHINGTON COUNTY HEALTH DEPT- MEDICATION CLINIC |
| NPI Number: | 1649649591 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JANE BARLUP (FISCAL ACCOUNT CLERK LL) |
| Mailing Address: | 13114 Pennsylvania Ave Hagerstown |
| State: | MD US |
| Postal Code: | 217422741 |
| Phone Number: | 2403133310 |
| Fax Number: | |
| NPI Enumeration Date: | 09/22/2015 |
| NPI Last Update Date: | 09/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |