| NPI | 1649977836 |
|---|---|
| Doing Business As | PROVERI HEALTH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | USOF HASHIM Managing Member/Pharmacist 240-481-3128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2023-02-08 |