Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JITAN PATEL (PHARMACY SUPERVISOR)
(301) 572-8073
Entity
Organization
Contact information
Practice address
10233 OLD GEORGETOWN RD, BETHESDA, MD 20814-1901
(301) 530-3666
Mailing address
11729 BELTSVILLE DR, BELTSVILLE, MD 20705-3147
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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