Organization
THE HEALTHY BACK STORE
Active
Organization
THE HEALTHY BACK STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY WEISBROD (CFO)
(240) 241-7822
Entity
Organization
Contact information
Practice address
10300 SOUTHARD DR, BELTSVILLE, MD 20705-2107
(703) 339-1300
Mailing address
10300 SOUTHARD DR, BELTSVILLE, MD 20705-2107
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
05/13/2015
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