Organization
KENT ISLAND PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJENDRA PRASAD KAMMA (MEMBER)
(609) 516-8591
Entity
Organization
Contact information
Practice address
382 THOMPSON CREEK MALL, STEVENSVILLE, MD 21666-2593
(609) 516-8591
Mailing address
3820 MOUNATIN ROAD, UNIT G, PASADENA, MD 21122
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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