Organization
JBS, INC
Active
Other names
Walther Pharmacy & Surgical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SURAJ MAMMEN (PHARMACY MANAGER)
(410) 344-7799
Entity
Organization
Contact information
Practice address
8621 WALTHER BLVD, NOTTINGHAM, MD 21236-3039
(410) 344-7799
(410) 878-7807
Mailing address
8621 WALTHER BLVD, NOTTINGHAM, MD 21236-3039
(410) 344-7799
(410) 878-7807
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
P04678
MD
Other
Enumeration date
11/08/2007
Last updated
11/21/2008
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