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Organization

VASHAN INC

Active
Other names
VASHAN PHARMACY Compounding/Consulting
Organization subpart
No

Provider details

NPI number
Authorized official
BEHZAD SAMARI PHARM.D (VICE PRESIDENT)
(301) 947-4747
Entity
Organization

Contact information

Practice address
9005 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 947-4747
(301) 947-1717
Mailing address
9005 SHADY GROVE CT, GAITHERSBURG, MD 20877-1301
(301) 947-4747
(301) 947-1717

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy
Primary
P04493
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2038205
PK
05
2543044 00
MD
Enumeration date
11/17/2006
Last updated
04/21/2017
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