Organization
BOSONS PHARMACEUTICAL CORPORATION
Active
Other names
The Medicine shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
REMI OLUFOTEBI (PRESIDENT)
(301) 622-0744
Entity
Organization
Contact information
Practice address
12838 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-3352
(301) 622-0744
Mailing address
12838 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-3352
(301) 622-0744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
P01948
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2159941
PK
—
05
—
432050600
—
MD
Enumeration date
05/10/2016
Last updated
11/02/2016
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