| NPI | 1124449483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ANTONINI Pharmacist 410-279-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 23667) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |