Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avalon Professional Pharmacy LLC

Organization Long Term Care Pharmacy · NPI 1790564417

Avalon Professional Pharmacy LLC is a Long Term Care Pharmacy in Glenn Dale, Maryland. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12100 Annapolis Rd Unit 2
Glenn Dale, MD 20769
Phone: (301) 383-0142
Fax: (301) 383-0143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1790564417
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAvalon Marketing Inc
Authorized official Jason Maduka — Pharmacy Owner/Pharmacy Manager · (301) 383-0142
NPI enumeratedSeptember 22, 2023
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025
Mailing address12100 Annapolis Rd Unit 2, Glenn Dale, MD 20769