Provider Demographics
NPI:1770716482
Name:H&M SPECIALTY RX,INC
Entity type:Organization
Organization Name:H&M SPECIALTY RX,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HOSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EJTEMAI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:301-718-0900
Mailing Address - Street 1:5454 WISCONSIN AVE
Mailing Address - Street 2:#400
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6901
Mailing Address - Country:US
Mailing Address - Phone:301-718-0900
Mailing Address - Fax:301-718-0901
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:#400
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:301-718-0900
Practice Address - Fax:301-718-0901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy