MEDICARE: MRS. NATHALIE DESIR RPH

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	183500000X	Pharmacist	27132	MD

General Provider Information

NPI Number	:	1437749603
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATHALIE DESIR RPH

Provider Business Mailing Address
First Line	:	6600 OAK LEAF CT
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3216
Country	:	US
Telephone Number	:	301-266-1587
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 OAK LEAF CT
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-3216
Country	:	US
Telephone Number	:	301-266-1587
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2021
Last Update Date	:	01/21/2021

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