Tidalhealth Peninsula Regional, Inc.
Community/Retail Pharmacy
11101 Cathage Rd, Berlin
Maryland, 21811
410-543-4769 410-543-4770
Tidalhealth Peninsula Regional, Inc. is not a DME supplier for medicare equipments and products.
Tidalhealth Peninsula Regional, Inc. is a Community/Retail Pharmacy in Berlin, Maryland. It is located at 11101 Cathage Rd, Berlin and it's customer support contact number is 410-543-4769. The authorized person of Tidalhealth Peninsula Regional, Inc. is William Cooper who is Ambulatory Pharmacy Manager,ao of the pharmacy and his contact number is 410-543-7047. Active license number of Tidalhealth Peninsula Regional, Inc. is P06935 for Community/Retail Pharmacy in Maryland.
Tidalhealth Peninsula Regional, Inc. is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Tidalhealth Peninsula Regional, Inc. 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: | Tidalhealth Peninsula Regional, Inc. |
| Type: | Community/Retail Pharmacy |
| Location: | 11101 Cathage Rd, Berlin, Maryland, 21811 |
| Phone: | 410-543-4769 |
| Fax: | 410-543-4770 |
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: | William Cooper |
| Position: | Ambulatory Pharmacy Manager,ao |
| Contact Number: | 410-543-7047 |
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: | 1851795017 |
| NPI Enumeration Date: | 17 Oct, 2014 |
| NPI Last Update On: | 08 Apr, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tidalhealth Peninsula Regional, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P06935 | Maryland | 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 |
| 2153648 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 11101 Cathage Rd, Berlin, Maryland |
| Zip: | 21811 |
| Phone Number: | 410-543-4769 |
| Fax Number: | 410-543-4770 |
Patients can reach Tidalhealth Peninsula Regional, Inc. at
11101 Cathage Rd, Berlin, Maryland or can
call on customer care at 410-543-4769.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.