| NPI | 1043781578 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEE Owner 410-687-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |