Organization
APOLLO PHARMACY OF GAITHERSBURG, INC.
Active
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
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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