NPI | 1053469619 |
---|---|
Entity Type | Organization |
Authorized Contact | COLETTE SUNTUM Dms 301-497-1820 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MD M45678) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |