Healthcare Provider Details

I. General information

NPI: 1780739920
Provider Name (Legal Business Name): SMEETA'S PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13410 CLARKSVILLE PIKE ROUTE 108 P O 218
HIGHLAND MD
20777
US

IV. Provider business mailing address

13410 CLARKSVILLE PIKE P O 218
HIGHLAND MD
20777
US

V. Phone/Fax

Practice location:
  • Phone: 301-854-9095
  • Fax: 301-854-9494
Mailing address:
  • Phone: 301-854-9095
  • Fax: 301-854-9494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number11805
License Number StateMD

VIII. Authorized Official

Name: MRS. SMITA P PATEL
Title or Position: OWNER PHARMACIST
Credential: RPH
Phone: 301-854-9095