| NPI | 1043638299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAPIAMBA MUTEBA Pharmacist/Owner 301-404-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2014-04-04 |