Organization
EXPO E MART, LLC
Active
Other names
Expo E Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE F DELYON (PRESIDENT)
(703) 304-4342
Entity
Organization
Contact information
Practice address
1101 UNIVERSITY BLVD, EXPO E MART PHARMACY, TAKOMA PARK, MD 22192
(301) 431-1151
Mailing address
1101 UNIVERSITY BLVD.EAST, SUITE 1350, TAKOMA PARK, MD 20912-6207
(703) 304-4342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05115
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P05115
DHMH, STATE PHARMACY PERMIT
MD
Enumeration date
09/12/2011
Last updated
07/25/2013
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