Community Clinic, INC
Pharmacy, Community/Retail Pharmacy in Gaithersburg, MD. Organization (NPI-2).
NPI number1851139232
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1851139232
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Clinic, INC
- Organization subpart
- No
- Enumeration date
- Jul 18, 2024
- Certification date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
220 Girard St Ste 100Gaithersburg, MD 20877-3467
Phone 888-792-8224
Mailing address
8665 Georgia AveSilver Spring, MD 20910-3405
Phone 301-495-0318
Authorized official
Alisa Brightley
Lead Credentialing Specialist
2402976758
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