MEDICARE: ALEX VANDI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	18293	MD

General Provider Information

NPI Number	:	1922308709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX VANDI RPH

Provider Business Mailing Address
First Line	:	2009 TREETOP LN APT 44
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7687
Country	:	US
Telephone Number	:	240-338-6614
Fax Number	:

Provider Business Practice Location Address
First Line	:	5800 SILVER HILL RD
Second Line	:
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-1103
Country	:	US
Telephone Number	:	301-568-2233
Fax Number	:	301-568-9422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2010
Last Update Date	:	10/27/2010

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