| NPI | 1003024670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERCY NNANNA Pharmacy Manager 410-668-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD PO4577) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-08-03 |