Organization
CORNER MARKET & PHARMACY INC
Active
Other names
Corner Market & Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ELNAZ DARJ PHARMD (OWNER, PIC, AO)
(301) 200-8472
Entity
Organization
Contact information
Practice address
8309 GRUBB RD, SILVER SPRING, MD 20910-2539
(301) 200-8472
(301) 710-5319
Mailing address
8309 GRUBB RD, SILVER SPRING, MD 20910-2539
(301) 200-8472
(301) 710-5319
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07377
MD
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2164138
PK
—
Enumeration date
09/12/2016
Last updated
03/10/2017
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