Organization
APOLLO PHARMACY OF GAITHERSBURG, INC.
Active
Other names
The Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. UTKARSH DESAI (VICE-PRESIDENT)
(240) 912-7784
Entity
Organization
Contact information
Practice address
9999 STEDWICK ROAD, GAITHERSBURG, MD 20886-3709
(240) 912-7784
(240) 912-7764
Mailing address
22492 CASTLE OAK ROAD, CLARKSBURG, MD 20871-5352
(240) 912-7784
(240) 912-7764
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
P06646
MD
3336C0003X
Community/Retail Pharmacy
Primary
P07896
MD
3336C0004X
Compounding Pharmacy
P07896
MD
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
P07896
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151079
PK
—
Enumeration date
03/09/2015
Last updated
08/14/2018
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