Organization
PATIENT FIRST MARYLAND MEDICAL GROUP
Active
Other names
PATIENT FIRST COLUMBIA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN W BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
5900 CEDAR LN, COLUMBIA, MD 21044-3635
(443) 718-4067
(443) 718-4068
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D0046786
MD
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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