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Organization
SUITLAND COMMUNITY PHARMACY
Active
Organization
SUITLAND COMMUNITY PHARMACY
Active
Other names
SUITLAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KIDANE (OWNER/PHARMACIST)
(301) 736-3270
Entity
Organization
Contact information
Practice address
4731 A SILVER HILL RD, SUITLAND COMMUNITY PHARMACY, SUITLAND, MD 20746-2408
(301) 736-3270
(301) 736-3158
Mailing address
4731 A SILVER HILL RD, SUITLAND COMMUNITY PHARMACY, SUITLAND, MD 20746-2408
(301) 736-3270
(301) 736-3158
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P07396
MD
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
P01957
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0902180
—
DC
01
—
2036089
PK
—
05
—
258728900
—
MD
05
—
921340600
—
MD
Enumeration date
09/20/2006
Last updated
07/21/2022
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