| NPI | 1104858075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON REID President 301-341-3906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 1748) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 1748) |
| 333600000X Pharmacy (Licence: CT 1748) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2024-09-23 |