MEDICARE: NE2 LLC

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	333600000X	Pharmacy
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy	PO6997	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2145936	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033522388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NE2 LLC

Provider Business Mailing Address
First Line	:	20410 OBSERVATION DR
Second Line	:	SUITE 112
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-4000
Country	:	US
Telephone Number	:	877-858-1545
Fax Number	:	240-306-1984

Provider Business Practice Location Address
First Line	:	20410 OBSERVATION DR STE 112
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20876-6419
Country	:	US
Telephone Number	:	877-858-1545
Fax Number	:	240-306-1984

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	VININDER SINGH
Credential	:
Telephone Number	:	301-367-2055

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	07/12/2016

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Directions to “NE2 LLC ” Practice Location

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