Individual
BELTUS SIMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3300 CRAIN HWY, BOWIE, MD 20716-1398
(301) 805-8853
Mailing address
8607 CROOKED TREE LN, LAUREL, MD 20724-2478
(240) 476-2356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18132
MD
1835P2201X
Ambulatory Care Pharmacist
18132
MD
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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