Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA PRATER (PHARMACY SUPERVISOR)
(571) 308-4490
Entity
Organization
Contact information
Practice address
5100 BROWN STATION RD, UPPER MARLBORO, MD 20772-9132
(301) 627-1500
Mailing address
5100 BROWN STATION RD, UPPER MARLBORO, MD 20772-9132
(301) 627-1500
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14747
MD
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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