Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY PANDIARAJAN (PHARMACIST)
(301) 662-9522
Entity
Organization
Contact information
Practice address
1460B W PATRICK ST, FREDERICK, MD 21702-3750
(301) 662-9522
Mailing address
4851 MARSDEN PL, FREDERICK, MD 21703-6822
(240) 566-2703
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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