Organization
AB & J RX CORPORATION
Active
Other names
Clear Spring Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON KLINE (OWNER)
(301) 331-0867
Entity
Organization
Contact information
Practice address
34 MULBERRY ST, CLEAR SPRING, MD 21722-1070
(301) 842-2774
(301) 842-2784
Mailing address
PO BOX 190, CLEAR SPRING PHARMACY, CLEAR SPRING, MD 21722-0190
(301) 842-2774
(301) 842-2784
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
P05885
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138490
PK
—
05
—
599315600
—
MD
Enumeration date
12/04/2012
Last updated
11/16/2016
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