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Apollo Pharmacy Of Gaithersburg, INC.

Pharmacy, Community/Retail Pharmacy in Gaithersburg, MD. Organization (NPI-2).

NPI number1659764181
StatusActive
Last updated in NPPESAug 14, 2018

Details

NPI
1659764181
Entity type
Organization (NPI-2)
Legal business name
Apollo Pharmacy Of Gaithersburg, INC.
Organization subpart
No
Enumeration date
Mar 9, 2015
Last updated
Aug 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyP07896MDYes
3336C0003X Pharmacy, Community/Retail PharmacyP06646MD
3336C0004X Pharmacy, Compounding Pharmacy––
3336C0004X Pharmacy, Compounding PharmacyP07896MD
3336S0011X Pharmacy, Specialty PharmacyP07896MD

Other names

  • The Village Pharmacy (Doing Business As)

Practice location

9999 Stedwick Road
Gaithersburg, MD 20886-3709

Phone 240-912-7784 · Fax 240-912-7764

Mailing address

22492 Castle Oak Road
Clarksburg, MD 20871-5352

Phone 240-912-7784 · Fax 240-912-7764

Authorized official

Utkarsh Desai
Vice-President
2409127784

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