Organization
LEISURE WORLD OF MD CORP
Active
Other names
LEISURE WORLD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA BRONAUGH PD (ADMINISTRATOR)
(301) 598-1550
Entity
Organization
Contact information
Practice address
3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
(301) 598-1005
(301) 598-1548
Mailing address
3305 N LEISURE WORLD BLVD, SILVER SPRING, MD 20906-1367
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
P01564
MD
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2111172
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
02/15/2006
Last updated
09/11/2025
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