Organization
COMMUNITY CLINIC, INC
Active
Other names
CCI Ora Glen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA J BRUTON PSY.D (CEO & PRESIDENT)
(240) 839-5107
Entity
Organization
Contact information
Practice address
7615 ORA GLEN DR, GREENBELT, MD 20770-3642
(301) 340-7525
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 340-7525
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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