OrganizationActive
Old Line Healthcare Inc
NPI 1356489348 · Long Term Care Pharmacy · Williamsport, MD
Provider details
- NPI number
- 1356489348
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Eric Shelley, Vp of Operations
- License
- MO0560293 (WV)
Practice location
16107a Elliott Pkwy
Williamsport, MD 21795-4084
Phone: (301) 223-6616
Fax: (301) 223-6679
Mailing address
16107a Elliott Pkwy
Williamsport, MD 21795-4084
Registry dates
- Enumerated
- 2007-02-02
- Last updated
- 2016-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.