Organization
THERACOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDY L. CAMPA (PROVIDERSHIP SUPERVISOR)
(800) 225-5967
Entity
Organization
Contact information
Practice address
9717 KEY WEST AVE, ROCKVILLE, MD 20850-3982
(301) 337-4200
(301) 337-4135
Mailing address
PO BOX 840688, DALLAS, TX 75284-0688
(800) 225-5967
(909) 799-4364
Taxonomy
Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
About Stedi
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