| NPI | 1033399977 |
|---|---|
| Doing Business As | WALTHER PHARMACY & SURGICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | SURAJ MAMMEN Pharmacy Manager 410-344-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD P04678) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2008-11-21 |