Organization · Type 2 NPI

John Wayne Pharmacy LLC

Pharmacist · Baltimore, MD

NPI number 1417354085 Active

Practice location

9106 Philadelphia Road, Suite #100
Baltimore, MD 21237

Fax (410) 391-3922

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	MD11499 (MD)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

Other pharmacist providers in Baltimore

See all in Baltimore →

NPI record

NPI: 1417354085
Entity type: Organization (Type 2)
Issued: Nov 26, 2014
Last updated: Nov 26, 2014
Status: Active
Subpart: Yes of John Wayne Pharmacy LLC

Other names

<unavail>
Professional Pharmacy · doing business as

Authorized official

Mr. Wayne D. Vanwie, P.D.
Pharmacist/owner
(410) 687-8113

Verify this record

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.

Is this your record? How to update it.

About NPI 1417354085

John Wayne Pharmacy LLC's National Provider Identifier is 1417354085, issued on Nov 26, 2014. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Baltimore, MD. The record was last updated on Nov 26, 2014.