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MATTAPONY CARE PHARMACY

Medical Equipment Supplier Yellow Pages

Bladensburg, Maryland

Provider NPI: 1164579215

Organization Information:
Organization Name:  MATTAPONY CARE PHARMACY


Practice Location:
4919 57TH AVE  BLADENSBURG, MD 20710 US
Tel: 301-779-2500  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3336C0004XSuppliers
Pharmacy
Compounding Pharmacy
N333600000XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MDP00421

Other Provider Identifiers:

IssuerNumberStateType
OTHER ID NUMBER210194301
OTHER ID NUMBER-COMMERCIAL NUMBER210194301
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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