OrganizationActive
355 Pharmacy & Medicals
NPI 1104406529 · Pharmacy · Gaithersburg, MD
Provider details
- NPI number
- 1104406529
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Authorized official
- Behrooz Goodarzi, Pharmacist
Practice location
903 Russell Ave
Gaithersburg, MD 20879-3282
Phone: (240) 430-8940
Fax: (240) 430-8942
Mailing address
903 Russell Ave
Gaithersburg, MD 20879-3282
Registry dates
- Enumerated
- 2021-04-09
- Last updated
- 2021-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.