Individual ProviderJohn TallyPharmacistPharmacy Service ProvidersPractice Address12209 Veirs Mill Rd, Silver Spring, MD 20906-4506(301) 949-3033PECOS EnrollmentBased on the most recent information from CMS, provider John Tally does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174110191Provider TypeIndividualFull NameTally, JohnCredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date12/23/2020Last Updated12/23/2020Contact InformationPractice LocationPractice Address12209 Veirs Mill Rd, Silver Spring, MD 20906-4506Phone(301) 949-3033FaxUnlisted FaxMailing LocationMailing Address12209 Veirs Mill Rd, Silver Spring, MD 20906-4506Phone(301) 949-3033FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense26524MarylandCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicensePH100002400District of Columbia