| NPI | 1003165382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWAME HANSON President/Manager 240-765-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 3336C0003X) |
| Enumeration Date | 2012-09-02 |
| Last Update Date | 2018-05-11 |