Organization
EAST PINES PHARMACY LLC
Active
Parent organization
EAST PINES PHARMACY LLC
Other names
East Pines Pharmacy & Medical Equipment
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST PINES PHARMACY LLC
Authorized official
DR. OMOTAYO S AWOTUNDE R.PH (PRESIDENT/CEO)
(301) 459-6211
Entity
Organization
Contact information
Practice address
6003 66TH AVE STE 102, RIVERDALE, MD 20737-1780
(301) 459-6211
(301) 459-6217
Mailing address
6003 66TH AVE STE 102, RIVERDALE, MD 20737-1780
(301) 459-6211
(301) 459-6217
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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