NPI 1104406529
355 Pharmacy & Medicals
Practice location
- Address
- 903 Russell Ave, Gaithersburg, MD 20879-3282
- Phone
- (240) 430-8940
- Fax
- (240) 430-8942
Authorised official
- Name
- Behrooz Goodarzi
- Title
- Pharmacist
- Phone
- (301) 254-4140
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1104406529
- Entity type
- Organization
- NPI issued
- 9 Apr 2021
- Record last updated
- 9 Apr 2021
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.