Healthcare Provider Details

I. General information

NPI: 1073224820
Provider Name (Legal Business Name): POP NOW LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2022
Last Update Date: 12/12/2022
Certification Date: 12/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15204 OMEGA DR STE 301
ROCKVILLE MD
20850-4601
US

IV. Provider business mailing address

15204 OMEGA DR STE 301
ROCKVILLE MD
20850-4601
US

V. Phone/Fax

Practice location:
  • Phone: 240-922-0001
  • Fax: 301-208-8953
Mailing address:
  • Phone: 240-922-0001
  • Fax: 301-208-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNA VALLEJO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 240-922-0001