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NEW ERA PHARMACY & VARIETY OUTLET LLC

Medical Equipment Supplier Yellow Pages

Capitol Heights, Maryland

Provider NPI: 1275664104

Organization Information:
Organization Name:  NEW ERA PHARMACY & VARIETY OUTLET LLC


Practice Location:
1436 ADDISON RD S  CAPITOL HEIGHTS, MD 20743 US
Tel: 301-808-4361  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
N3336C0004XSuppliers
Pharmacy
Y3336C0003XSuppliers
Pharmacy
MDP04041

Other Provider Identifiers:

IssuerNumberStateType
406032600MD05
PK203784001
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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