Organization
MEDNOVATIONS INC
Active
Other names
MEDNOVATIONS INC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KEEYS PHARMD RPH BCPS (CEO)
(240) 554-0310
Entity
Organization
Contact information
Practice address
316 TALBOTT AVE, LAUREL, MD 20707-4334
(240) 554-0310
(240) 554-0316
Mailing address
316 TALBOTT AVE, LAUREL, MD 20707-4334
(240) 554-0310
(240) 554-0316
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PW0210
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132607
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/13/2006
Last updated
03/05/2010
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