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Organization

KLEINS FESTIVAL AT BEL AIR INC

Active
Other names
Klein's Shoprite Pharmacy #549
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization

Contact information

Practice address
5 BEL AIR SOUTH PKWY STE 301, BEL AIR, MD 21015-6087
(443) 512-8373
(443) 512-8379
Mailing address
5 BEL AIR SOUTH PKWY STE 301, BEL AIR, MD 21015-6087
(443) 512-8373
(443) 512-8379

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P01541
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2116932
NCPDP PROVIDER IDENTIFICATION NUMBER
05
550692100
MD
Enumeration date
08/25/2006
Last updated
08/28/2009
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