Healthcare Provider Details

I. General information

NPI: 1710335187
Provider Name (Legal Business Name): PHYSICIANS RX PHARMACIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2016
Last Update Date: 05/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7525 GREENWAY CENTER DRIVE SUITE 202
GREENBELT MD
20770
US

IV. Provider business mailing address

7525 GREENWAY CENTER DR
GREENBELT MD
20770-3509
US

V. Phone/Fax

Practice location:
  • Phone: 301-477-3367
  • Fax:
Mailing address:
  • Phone: 301-477-3367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14877
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberPH3236
License Number StateDC

VIII. Authorized Official

Name: DR. SHERYL SIMPSON
Title or Position: PHARMACIST IN CHARGE
Credential:
Phone: 301-477-3367