MEDICARE: CHINESE CULTURE AND COMMUNITY SERVICE CENTER, INC.

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1417578642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHINESE CULTURE AND COMMUNITY SERVICE CENTER, INC.

Provider Business Mailing Address
First Line	:	9298 GAITHER RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1420
Country	:	US
Telephone Number	:	240-393-5950
Fax Number	:	240-668-9828

Provider Business Practice Location Address
First Line	:	9298 GAITHER RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20877-1420
Country	:	US
Telephone Number	:	240-393-5950
Fax Number	:	240-668-9828

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. HUIXING LU
Credential	:	LCSW(C)
Telephone Number	:	240-393-5950

Provider Enumeration Date	:	04/28/2020
Last Update Date	:	08/12/2025

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