Individual ProviderRaymond Bleu-LainePharmacistPharmacy Service ProvidersPractice Address1411 E West Hwy, Silver Spring, MD 20910-2836(301) 563-6935PECOS EnrollmentBased on the most recent information from CMS, provider Raymond Bleu-Laine 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 ID1669786679Provider TypeIndividualFull NameBleu-Laine, RaymondTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date8/2/2010Last Updated8/2/2010Contact InformationPractice LocationPractice Address1411 E West Hwy, Silver Spring, MD 20910-2836Phone(301) 563-6935Fax(301) 563-6235Mailing LocationMailing Address1411 E West Hwy, Silver Spring, MD 20910-2836Phone(301) 563-6935Fax(301) 563-6235Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense19334MarylandCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicensePH100000726District of Columbia