| NPI | 1013072446 |
|---|---|
| Doing Business As | PARK LANE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | EMMANUEL BAJULAIYE Owner 410-466-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P03053) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-07-21 |