East Pines Pharmacy LLC

NPI #1255904579 in Riverdale, Maryland

Provider Information

NPI Number
1255904579
Entity Type
Organization
Organization Name
East Pines Pharmacy LLC
Subpart
Yes (part of a larger organization)
Parent Organization
EAST PINES PHARMACY LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 23, 2021
Last Updated
Jul 23, 2021

Practice Location

Address
6003 66TH AVE STE 102
ZIP Code
20737-1780
Phone
(301) 459-6211

Authorized Official

Name
DR. OMOTAYO S AWOTUNDE, R.PH
Title
PRESIDENT/CEO
Phone
(301) 459-6211

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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