Provider Demographics
NPI:1750714317
Name:GLOBAL COMMUNITY PHARMACY
Entity type:Organization
Organization Name:GLOBAL COMMUNITY PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:PASCAL
Authorized Official - Middle Name:
Authorized Official - Last Name:KEMELONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-643-3132
Mailing Address - Street 1:21728 GREAT MILLS RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-3801
Mailing Address - Country:US
Mailing Address - Phone:301-862-1800
Mailing Address - Fax:301-862-1801
Practice Address - Street 1:21728 GREAT MILLS RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3801
Practice Address - Country:US
Practice Address - Phone:301-862-1800
Practice Address - Fax:301-862-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-17
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
MDP060903336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141813OtherPK
MD7398350001Medicare NSC