| NPI | 1134989312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BRACKETT Director Of Operations 301-268-9234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-03-22 |
| Last Update Date | 2024-03-22 |