Organization
POTOMAC CARE PHARMACY INC
Active
Other names
Potomac Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FADIME SEREMET RPH (PRESIDENT/PIC/AO)
(301) 337-6430
Entity
Organization
Contact information
Practice address
12103 DARNESTOWN RD, NORTH POTOMAC, MD 20878-2205
(301) 337-6430
(301) 337-6436
Mailing address
12103 DARNESTOWN RD, NORTH POTOMAC, MD 20878-2205
(301) 337-6430
(301) 337-6436
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07217
MD
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111736000
—
MD
01
—
2160481
PK
—
Enumeration date
06/03/2016
Last updated
09/27/2024
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