| Organization Name: | HALETHORPE DRUG IMMUNIZATION LLC |
| NPI Number: | 1992117279 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GEORGE GARMER (V.P.) |
| Mailing Address: | 1307 Francis Ave Baltimore |
| State: | MD US |
| Postal Code: | 212273913 |
| Phone Number: | 4102473344 |
| Fax Number: | 4102479110 |
| NPI Enumeration Date: | 05/21/2014 |
| NPI Last Update Date: | 05/21/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 333600000X |
| License Number: | P02423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |