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Organization

BLUE DOOR PHARMACIES

Active
Other names
Shady Grove Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
SHEILA ALIZADEH (OWNER)
(240) 731-2813
Entity
Organization

Contact information

Practice address
15225 SHADY GROVE RD, SUITE 101, ROCKVILLE, MD 20850-3254
(301) 948-4222
(301) 948-0018
Mailing address
15225 SHADY GROVE RD, SUITE 101, ROCKVILLE, MD 20850-3254
(301) 948-4222
(301) 948-0018

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P05361
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2126425
PK
Enumeration date
07/30/2006
Last updated
03/31/2015
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