Provider Demographics
NPI:1184863821
Name:MED INC
Entity Type:Organization
Organization Name:MED INC
Other - Org Name:DAAROO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:DARJ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-656-7080
Mailing Address - Street 1:505 REDLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5706
Mailing Address - Country:US
Mailing Address - Phone:301-656-7080
Mailing Address - Fax:301-656-7082
Practice Address - Street 1:8401 CONNECTICUT AVE
Practice Address - Street 2:STE 110
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-5803
Practice Address - Country:US
Practice Address - Phone:301-656-7080
Practice Address - Fax:301-656-7082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP049813336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2134360OtherNCPDP PROVIDER IDENTIFICATION NUMBER