Organization
NEW MARKET PHARMACT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AWET GEBREGZIABHER PHARM.D (PHARMACIST (MEMBER))
(301) 472-1987
Entity
Organization
Contact information
Practice address
11709 FAIR OAKS WAY, WALDORF, MD 20602-3192
(301) 472-1987
Mailing address
29015 THREE NOTCH RD UNIT # 7, MECHANICSVILLE, MD 20659
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/13/2011
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