Organization
TIDEWATER DRUG AND HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BARBINO PHARMD (PHARMACY MANAGER)
(240) 419-7245
Entity
Organization
Contact information
Practice address
30170 THREE NOTCH RD UNIT B, CHARLOTTE HALL, MD 20622-4119
(301) 472-1720
(301) 472-1719
Mailing address
30170 THREE NOTCH RD UNIT B, CHARLOTTE HALL, MD 20622-4119
(301) 472-1720
(301) 472-1719
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
10/01/2020
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