NPI | 1063717015 |
---|---|
Entity Type | Organization |
Authorized Contact | PRAMOD ARIKERI President 301-216-1190 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MD PW0344) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R4156) |
Enumeration Date | 2011-01-24 |
Last Update Date | 2021-07-26 |