Organization
MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELNAZ DARJ RPH (PHARMACY OWNER)
(301) 986-5354
Entity
Organization
Contact information
Practice address
8401 CONNECTICUT AVE, SUITE 110, CHEVY CHASE, MD 20815
(301) 986-5354
(301) 986-4962
Mailing address
8401 CONNECTICUT AVE, SUITE 110, CHEVY CHASE, MD 20815
(301) 986-5354
(301) 986-4962
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04521
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011942300
—
MD
01
—
2038209
PK
—
Enumeration date
12/04/2006
Last updated
04/12/2018
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