| NPI | 1114969730 |
|---|---|
| Doing Business As | WATERMONT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JODI LARE Owner Pharmacist 410-465-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00820) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2011-04-22 |