Organization
PATIENT FIRST MARYLAND MEDICAL GROUP
Active
Other names
PATIENT FIRST ODENTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN WARREN BRIDGERS III RPH (DIRECTOR OF PHARMACY)
(804) 822-4383
Entity
Organization
Contact information
Practice address
1110 ANNAPOLIS RD, ODENTON, MD 21113
(443) 351-3917
(443) 351-3918
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
D0053640
MD
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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