Covenant Food Stores Inc.

NPI #1043244205 in Laurel, Maryland

Provider Information

NPI Number: 1043244205
Entity Type: Organization
Organization Name: Covenant Food Stores Inc.
Primary Specialty: Pharmacist
Enumeration Date: Jul 11, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 14633 BALTIMORE AVE
City: Laurel
State: Maryland
ZIP Code: 20707-4902
Phone: (301) 362-9100

Authorized Official

Name: MR. COLLINWISE OSEI-ABOAGYE, RPH
Title: PHARMACIST/PRESIDENT
Phone: (301) 362-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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