Organization
COMMUNITY CARE RX INC
Active
Other names
Community Care Rx
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEON JOHN MICAN JR. (OWNER)
(301) 882-7370
Entity
Organization
Contact information
Practice address
11801 FINGERBOARD RD STE 6, MONROVIA, MD 21770-9030
(301) 882-7370
(301) 882-7368
Mailing address
11801 FINGERBOARD RD, SUITE 6, MONROVIA, MD 21770-9030
(301) 882-7370
(301) 882-7368
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH05655
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4464044
—
MD
Enumeration date
02/13/2012
Last updated
06/09/2025
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