Organization
MGRX LLC
Active
Other names
Musgrove Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NILKANTH PATEL (AUTHORIZED OFFICIAL)
(301) 879-2011
Entity
Organization
Contact information
Practice address
2415 MUSGROVE RD STE 101, SILVER SPRING, MD 20904-5221
(301) 879-2011
(301) 879-1515
Mailing address
2415 MUSGROVE RD STE 101, SILVER SPRING, MD 20904-5221
(301) 897-2011
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370013500
—
MD
Enumeration date
11/20/2017
Last updated
01/24/2020
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