NPI 1003681016
Avalon Professional Pharmacy LLC.
Practice location
- Address
- 12100 Annapolis Rd Unit 2, Glenn Dale, MD 20769
- Phone
- (301) 383-0142
- Fax
- (301) 383-0143
Authorised official
- Name
- Jason C Maduka
- Title
- Pharmacy Owner/Pharmacy Manager
- Phone
- (310) 383-0142
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1003681016
- Entity type
- Organization
- NPI issued
- 20 Nov 2023
- Record last updated
- 20 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.