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Organization

355 PHARMACY & MEDICALS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEHROOZ GOODARZI PHARMACIST (PHARMACIST)
(301) 254-4140
Entity
Organization

Contact information

Practice address
903 RUSSELL AVE, GAITHERSBURG, MD 20879-3282
(240) 430-8940
(240) 430-8942
Mailing address
903 RUSSELL AVE, GAITHERSBURG, MD 20879-3282
(240) 430-8940
(240) 430-8942

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary

Other

Enumeration date
04/09/2021
Last updated
04/09/2021
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