Organization
KLEINS OF CARDIFF INC
Active
Other names
Klein's Shoprite Pharmacy #555
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FIGUEROA RIVERA (THIRD PARTY ADMINISTRATOR)
(732) 521-8439
Entity
Organization
Contact information
Practice address
1606 DOOLEY RD, CARDIFF, MD 21160-1130
(410) 452-9799
(410) 452-9196
Mailing address
1606 DOOLEY RD, CARDIFF, MD 21160-1130
(410) 452-9799
(410) 452-9196
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P04010
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2127187
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
403892400
—
MD
Enumeration date
08/24/2006
Last updated
09/24/2012
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