Provider Demographics
NPI:1407319692
Name:BRIGGS CHANEY LLC
Entity Type:Organization
Organization Name:BRIGGS CHANEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OLAOLUWA
Authorized Official - Middle Name:O
Authorized Official - Last Name:OLADEJO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:240-565-7600
Mailing Address - Street 1:13840 OUTLET DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-4970
Mailing Address - Country:US
Mailing Address - Phone:240-970-8576
Mailing Address - Fax:
Practice Address - Street 1:13840 OUTLET DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-4970
Practice Address - Country:US
Practice Address - Phone:240-565-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-13
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy