Organization
COMMUNITY CLINIC, INC
Active
Organization
COMMUNITY CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA BRIGHTLEY (LEAD CREDENTIALING SPECIALIST)
(240) 297-6758
Entity
Organization
Contact information
Practice address
220 GIRARD ST STE 100, GAITHERSBURG, MD 20877-3467
(888) 792-8224
Mailing address
8665 GEORGIA AVE, SILVER SPRING, MD 20910-3405
(301) 495-0318
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
09/03/2024
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