| NPI | 1104412154 |
|---|---|
| Doing Business As | JEFFERSON DRUG PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SAMUEL AIGBFOH Owner 443-540-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |