| NPI | 1134651821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUNG VU President 301-676-5876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P07504) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2018-04-19 |