Organization
PATIENT FIRST MARYLAND MEDICAL GROUP
Active
Other names
Patient First Waldorf
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN W. BRIDGERS III R.PH. (DIRECTOR OF PHARMACEUTICAL SERVICES)
(804) 822-4383
Entity
Organization
Contact information
Practice address
2855 CRAIN HIGHWAY, WALDORF, MD 20601
(240) 427-1926
(240) 427-1927
Mailing address
5000 COX RD, STE 100, GLEN ALLEN, VA 23060-9263
(804) 822-4383
(804) 965-0987
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
D0053640
MD
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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