Healthcare Provider Details

I. General information

NPI: 1811519176
Provider Name (Legal Business Name): KARE MET PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2020
Last Update Date: 05/10/2020
Certification Date: 05/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12707 HANCOCK CT
UPPER MARLBORO MD
20774-5601
US

IV. Provider business mailing address

12707 HANCOCK CT
UPPER MARLBORO MD
20774-5601
US

V. Phone/Fax

Practice location:
  • Phone: 202-487-4821
  • Fax:
Mailing address:
  • Phone: 202-487-4821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. KENNETH KUEMETA
Title or Position: OWNER
Credential: PHARMD
Phone: 202-487-4821