| NPI | 1063509255 |
|---|---|
| Doing Business As | KEYSTONE PHARMACY |
| Doing Business As | KEYSTONE PHARMACY INC |
| Entity Type | Organization |
| Authorized Contact | SYAM K POTLURI Managing Member 443-823-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P02060) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2022-01-06 |