Provider Demographics
NPI:1831846062
Name:POTOMAC CARE PHARMACY INC
Entity type:Organization
Organization Name:POTOMAC CARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC/AO
Authorized Official - Prefix:
Authorized Official - First Name:FADIME
Authorized Official - Middle Name:
Authorized Official - Last Name:SEREMET
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:301-337-6430
Mailing Address - Street 1:12103 DARNESTOWN RD
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2205
Mailing Address - Country:US
Mailing Address - Phone:301-337-6430
Mailing Address - Fax:
Practice Address - Street 1:12103 DARNESTOWN RD
Practice Address - Street 2:
Practice Address - City:NORTH POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20878-2205
Practice Address - Country:US
Practice Address - Phone:301-337-6430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies