NPI 1033399977

Jbs, INC

Organisation Exclusive Provider Organization Nottingham, MD

Practice location

Address: 8621 Walther Blvd, Nottingham, MD 21236-3039
Phone: (410) 344-7799
Fax: (410) 878-7807

Authorised official

Name: Suraj Mammen
Title: Pharmacy Manager
Phone: (410) 344-7799

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence P04678 (MD)

Other Exclusive Provider Organization providers in Maryland →

Registry record

NPI: 1033399977
Entity type: Organization
NPI issued: 8 Nov 2007
Record last updated: 21 Nov 2008

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.