| NPI | 1043571367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANUPAM BHAVSAR Pharmacy Manager 410-446-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P05694) |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2015-09-21 |