Organization
PATHASHALA100 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHKUMAR PATEL PHARMACY TECHNICIAN (OWNER)
(248) 495-5705
Entity
Organization
Contact information
Practice address
30 HIGH ST, WALDORF, MD 20602-1846
(240) 448-3301
(240) 448-3302
Mailing address
30 HIGH ST, WALDORF, MD 20602-1846
(240) 448-3301
(240) 448-3302
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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