OrganizationActive
Ibss Corp
NPI 1487384384 · Clinic Pharmacy · Silver Spring, MD
Provider details
- NPI number
- 1487384384
- Entity type
- Organization
- Primary specialty
- Clinic PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reza Vafa, Program Manager(301) 675-8740
Specialties & taxonomies
Suppliers
Practice location
1110 Bonifant St Ste 501
Silver Spring, MD 20910-3358
Phone: (301) 675-8740
Approximate (ZIP-level) locationGet directions
Mailing address
1110 Bonifant St Ste 501
Silver Spring, MD 20910-3358
Other names (DBA / former)
- Doing business as
- Ibss Corp
Registry dates
- Enumerated
- 2022-06-14
- Last updated
- 2022-06-14
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.