| NPI | 1104658699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EJIKE I UNEGBU Pharmacist 301-467-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |