Organization
PATIENT FIRST MARYLAND MEDICAL GROUP
Active
Other names
PATIENT FIRST CLINTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN W BRIDGERS III RPH (VP, PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
9000 WOODYARD RD, CLINTON, MD 20735-4206
(240) 546-3428
(240) 546-3429
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D0080205
MD
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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