Organization
ADVENTIST HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GOOD (DIRECTOR OF PHARMACY)
(814) 244-4813
Entity
Organization
Contact information
Practice address
7600 CARROLL AVE, OUTPATIENT PHARMACY, TAKOMA PARK, MD 20912-6367
(301) 891-6625
(301) 891-6208
Mailing address
7600 CARROLL AVE, OUTPATIENT PHARMACY, TAKOMA PARK, MD 20912-6367
(301) 891-6625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07417
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117082100
—
MD
01
—
2166611
PK
—
Enumeration date
12/06/2016
Last updated
04/10/2017
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