Organization
SRI GANESH PHARMACY OF CUMBERLAND INC
Active
Other names
potomac valley pharmacy of cumberland
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS SHETH (VICE PRESIDENT)
(301) 722-2342
Entity
Organization
Contact information
Practice address
501 N CENTRE ST, CUMBERLAND, MD 21502-2102
(301) 722-2342
(301) 722-3611
Mailing address
501 N CENTRE ST, CUMBERLAND, MD 21502-2102
(301) 722-2342
(301) 722-3611
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P05718
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2137967
PK
—
Enumeration date
05/16/2012
Last updated
03/16/2015
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