Organization
IBSS CORP
Active
Other names
IBSS Corp
Organization subpart
No
Provider details
NPI number
Authorized official
REZA VAFA PHARM.D (PROGRAM MANAGER)
(301) 675-8740
Entity
Organization
Contact information
Practice address
1110 BONIFANT ST STE 501, SILVER SPRING, MD 20910-3358
(301) 675-8740
Mailing address
1110 BONIFANT ST STE 501, SILVER SPRING, MD 20910-3358
(301) 675-8740
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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