# OBRA PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063292399
- **Authorized official:** MYLOVE O OPPONG (OWNER)
- **Authorized official phone:** (410) 740-7273

## Contact information

- **Practice address:** 15525 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20905-4077
- **Practice address phone:** (301) 847-9507
- **Mailing address:** 7009 VAN DUSEN RD, LAUREL, MD 20707-5256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 10/04/2023
- **Last updated:** 10/04/2023