Avalon Professional Pharmacy Llc
Long Term Care Pharmacy
12100 Annapolis Rd Unit 2, Glenn Dale
Maryland, 20769
301-383-0142 301-383-0143
Avalon Professional Pharmacy Llc is a Long Term Care Pharmacy in Glenn Dale, Maryland. This organization is also known as sub part of Avalon Marketing Inc. It is located at 12100 Annapolis Rd Unit 2, Glenn Dale and it's customer support contact number is 301-383-0142. The authorized person of Avalon Professional Pharmacy Llc is Mr. Jason C Maduka, RPH who is Pharmacy Owner/pharmacy Manager of the pharmacy and his contact number is 301-383-0142.
Avalon Professional Pharmacy Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Avalon Professional Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Avalon Professional Pharmacy Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 12100 Annapolis Rd Unit 2, Glenn Dale,
Maryland, 20769 |
| Phone: | 301-383-0142 |
| Fax: | 301-383-0143 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Jason C Maduka |
| Credentials: | RPH |
| Position: | Pharmacy Owner/pharmacy Manager |
| Contact Number: | 301-383-0142 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1790564417 |
| Parent Organization: | Avalon Marketing Inc |
| NPI Enumeration Date: | 22 Sep, 2023 |
| NPI Last Update On: | 08 Dec, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avalon Professional Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 456105800 | Medicaid | Maryland | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 12100 Annapolis Rd Unit 2,
Glenn Dale, Maryland |
| Zip: | 20769 |
| Phone Number: | 301-383-0142 |
| Fax Number: | 301-383-0143 |
Patients can reach Avalon Professional Pharmacy Llc at
12100 Annapolis Rd Unit 2, Glenn Dale, Maryland or can
call on customer care at 301-383-0142.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.