OrganizationActive
Healthsource Distributors, LLC
NPI 1750032926 · Pharmacy · Baltimore, MD
Provider details
- NPI number
- 1750032926
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Jerry Wolasky, President(410) 653-1113
Specialties & taxonomies
Suppliers
Practice location
7200 Rutherford Rd Ste 150
Baltimore, MD 21244-2743
Phone: (141) 065-3111
Approximate (ZIP-level) locationGet directions
Mailing address
7200 Rutherford Rd Ste 150
Baltimore, MD 21244-2743
Registry dates
- Enumerated
- 2022-01-10
- Last updated
- 2022-01-10
- Certified
- 2022-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.