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Laurel Main Street Pharmacy — NPI 1043968530, Laurel, MD | NPI Central

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NPI 1043968530

OrganizationActive

Laurel Main Street Pharmacy

NPI 1043968530 · Long Term Care Pharmacy · Laurel, MD

Provider details

NPI number: 1043968530
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Ali Thakkar, Owner(301) 317-3838

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Clinic Pharmacy3336C0002X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers

Practice location

667 Main St

Laurel, MD 20707-4067

Phone: (301) 317-3838

Fax: (301) 317-3637

Approximate (ZIP-level) locationGet directions

More MD providers

Mailing address

667 Main St

Laurel, MD 20707-4067

Other names (DBA / former)

Doing business as: Main Street Pharmacy
Doing business as: Main Street Pharmacy

Registry dates

Enumerated: 2022-03-14
Last updated: 2025-05-20
Certified: 2025-05-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.