Organization
KLEINS OF CARDIFF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ROBERT HENDERSON (PHARMACY DIRECTOR)
(410) 420-8220
Entity
Organization
Contact information
Practice address
1606 DOOLEY RD, CARDIFF, MD 21160-1130
(410) 452-9799
Mailing address
1606 DOOLEY RD, CARDIFF, MD 21160-1130
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403892400
—
MD
Enumeration date
01/21/2020
Last updated
01/21/2020
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