355 Pharmacy & Medicals
Pharmacy in Gaithersburg, MD. Organization (NPI-2).
NPI number1104406529
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1104406529
- Entity type
- Organization (NPI-2)
- Legal business name
- 355 Pharmacy & Medicals
- Organization subpart
- No
- Enumeration date
- Apr 9, 2021
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Practice location
903 Russell AveGaithersburg, MD 20879-3282
Phone 240-430-8940 · Fax 240-430-8942
Mailing address
903 Russell AveGaithersburg, MD 20879-3282
Phone 240-430-8940 · Fax 240-430-8942
Authorized official
Behrooz Goodarzi
Pharmacist
3012544140
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