Organization
GREENBELT CONSUMER COOPERATIVE INC
Active
Other names
CO OP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAJIDA QAYUMI RPH (PHARMACY MGR)
(301) 474-4400
Entity
Organization
Contact information
Practice address
121 CENTERWAY, GREENBELT, MD 20770-1802
(301) 474-4400
(301) 474-3736
Mailing address
121 CENTERWAY, GREENBELT, MD 20770-1802
(301) 474-4400
(301) 474-3736
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P01086
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2033801
PK
—
05
—
356792300
—
MD
Enumeration date
10/20/2006
Last updated
03/27/2017
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