Organization
GERMANTOWN PHARMACY
Active
Other names
GERMANTOWN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH DIBONGE PHRMD (OWNER)
(240) 506-1728
Entity
Organization
Contact information
Practice address
19735 GERMANTOWN RD, 175, GERMANTOWN, MD 20874-1214
(301) 515-9222
(601) 506-1728
Mailing address
21506 MANOR VIEW CIR, GERMANTOWN, MD 20876-5924
(240) 506-1728
(301) 540-8246
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P04694
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133685
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/08/2007
Last updated
12/01/2010
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