| NPI | 1043968530 |
|---|---|
| Doing Business As | MAIN STREET PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ALI H THAKKAR Pharmacist 301-317-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-09-14 |