| NPI | 1124285754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN THOMPSON Director Op Phcy 410-288-8022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P04438) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |