Organization
PATIENT FIRST MARYLAND MEDICAL GROUP, PLLC
Active
Other names
PATIENT FIRST GLEN BURNIE-24
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN WARREN BRIDGERS III R.PH. (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
7116 RITCHIE HIGHWAY, GLEN BURNIE, MD 21061
(443) 577-0277
(443) 577-0288
Mailing address
5000 COX RD STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D0047799
MD
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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