| NPI | 1073079810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GREAVER Director Of Licensing 443-632-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |