Tidewater Pharmacy Inc

NPI 1003972373 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1003972373
Enumeration Date 12/29/2006
Last Updated 12/24/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEO LEO
Position MNGR
Phone (301) 884-4646
Fax (301) 884-7329
Practice Location
28948 THREE NOTCH RD
MECHANICSVILLE MD, 20659-9998, US
Phone (301) 884-4646
Fax (301) 884-7329
Business Location
28948 THREE NOTCH RD
PO BOX 208
MECHANICSVILLE MD, 20659-9998, US
Phone (301) 884-4646
Fax (301) 884-7329
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Tidewater Pharmacy Inc NPI is 1003972373, taxonomy code is 332B00000X Tidewater Pharmacy Inc physically located at 28948 Three Notch Rd, Mechanicsville MD, 20659-9998. NPI Number 1033115704 has the healthcare provider type.

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1003972373 NPI number is provided on an as is basis without warranty of any kind. 1003972373 is maintained by the National Plan & Provider Enumeration System. The contents of Tidewater Pharmacy Inc are for informational purposes only.