| NPI | 1013589811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN SHIELDS CEO 410-507-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2023-07-17 |