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Organization

CVS/PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER JAMES KANIMBA PHARM D. (PHARMACIST)
(301) 418-5504
Entity
Organization

Contact information

Practice address
19901 FREDERICK RD, GERMANTOWN, MD 20876-4005
(301) 916-7767
(301) 916-7797
Mailing address
19901 FREDERICK RD, GERMANTOWN, MD 20876-4005
(301) 916-7767
(301) 916-7797

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
23831
MD

Other

Enumeration date
10/13/2016
Last updated
10/13/2016
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