Daniel Mutooni | Silver Spring, MD • PECOS Search

Daniel Mutooni

Pharmacist

Pharmacy Service Providers

9520 Georgia Ave, Silver Spring, MD 20910-1436

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel Mutooni does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1407264211
Provider Type
Individual
Full Name
Mutooni, Daniel
Gender
Male

Sole Proprietor
Yes
Enumeration Date
7/24/2014
Last Updated
7/24/2014

Contact Information

Practice Location

9520 Georgia Ave, Silver Spring, MD 20910-1436

Unlisted Fax

Mailing Location

5708 Parkway Dr, Laurel, MD 20707-5400

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 12711 Maryland