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

Laurel Main Street Pharmacy Incorporated

Organization Primary Care Clinic/Center · NPI 1023058690

Laurel Main Street Pharmacy Incorporated is a Primary Care Clinic/Center in Laurel, Maryland. Works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
Specialties on file
5

Practice location Address checks out

667 Main St
Laurel, MD 20707-4067
Phone: (301) 317-3838
Fax: (301) 317-3637
Show map & directions

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

Additional practice locations (1)

  • 667 Main St, Laurel, MD 20707-4067 — (301) 317-3838

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence P05892 (MD)
Primary Care Clinic/Center Taxonomy 261QP2300X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Clinic Pharmacy Taxonomy 3336C0002X
Long Term Care Pharmacy Taxonomy 3336L0003X

Record details

NPI number1023058690
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ali Thakkar — President · (301) 317-3838
NPI enumeratedJune 8, 2006
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023
Mailing address667 Main St, Laurel, MD 20707-4067

Other providers in Laurel