OrganizationActive
Main Street Pharmacy, LLC
NPI 1821198110 · Pharmacy · Parkville, MD
Provider details
- NPI number
- 1821198110
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Authorized official
- Susan Colbert, Sr. Director, Payer Relations
- License
- PO2067 (MD)
Practice location
8800 Walther Blvd
Parkville, MD 21234-9001
Phone: (410) 882-3238
Fax: (410) 882-3188
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.