| NPI | 1033306519 |
|---|---|
| Doing Business As | WYE OAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GLADYS MAKOGE Mang 410-356-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P04650) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2023-03-10 |