Organization
MARYS CENTER FOR MATERNAL AND CHILD CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL WRIGHT (PRESIDENT PHARMACY SERVICES)
(806) 242-7782
Entity
Organization
Contact information
Practice address
3912 GEORGIA AVE NW, WASHINGTON, DC 20011-5861
(202) 847-4573
(202) 595-0992
Mailing address
320 S POLK ST STE 200, AMARILLO, TX 79101-1436
(806) 242-7782
(202) 595-0992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014223038
—
DC
Enumeration date
01/13/2017
Last updated
12/19/2023
Update your record
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