| NPI | 1023058690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI H THAKKAR President 301-317-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05892) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 261QP2300X Clinic/Center, Primary Care | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-09-14 |