Organization
KLEINS FESTIVAL AT BEL AIR INC
Active
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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