Clyde Steven Perry | Silver Spring, MD • PECOS Search

Clyde Steven Perry

Pharmacist

Pharmacy Service Providers

14500 Banquo Ter, Silver Spring, MD 20906-2677

PECOS Enrollment

Based on the most recent information from CMS, provider Clyde Steven Perry 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
1720238330
Provider Type
Individual
Full Name
Perry, Clyde Steven
Credential
PHARMD

Gender
Male
Sole Proprietor
No
Enumeration Date
9/19/2008
Last Updated
9/19/2008

Contact Information

Practice Location

14500 Banquo Ter, Silver Spring, MD 20906-2677

Unlisted Fax

Mailing Location

14500 Banquo Ter, Silver Spring, MD 20906-2677

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 18428 Maryland