NPI 1053469619

Patient First

Organisation Non-Pharmacy Dispensing Site Laurel, MD

Practice location

Address: 3357 B Corridor Mkt Place, Laurel, MD 20724
Phone: (301) 497-1820
Fax: (301) 497-5489
Mailing address: 5000 Cox Rd STE 100, Glen Allen, VA 23060-9263

Authorised official

Name: Colette Suntum
Title: Dms
Phone: (301) 497-1820

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X Licence M45678 (MD)

Other Non-Pharmacy Dispensing Site providers in Maryland →

Registry record

NPI: 1053469619
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 22 Aug 2020

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.