Organization · Type 2 NPI

Western Maryland Health Care Corporation

Community/Retail Pharmacy · Grantsville, MD

NPI number 1083415947 Active

Practice location

28 Hershberger Ln
Grantsville, MD 21536-1172

Fax (833) 448-0359

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

6 other providers at this address

NPI record

NPI: 1083415947
Entity type: Organization (Type 2)
Issued: Mar 24, 2025
Last updated: Jan 21, 2026
Status: Active

Other names

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Mountain Laurel Community Pharmacy at Grantsville · doing business as
Mountain Laurel Community Pharmacy at Grantsville · doing business as

Authorized official

James Mou
CFO
(301) 533-3300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083415947

Western Maryland Health Care Corporation's National Provider Identifier is 1083415947, issued on Mar 24, 2025. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Grantsville, MD. The record was last updated on Jan 21, 2026.