| NPI | 1144831157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZEEM FUNMILAYO Pharmacy Manager 443-708-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2024-10-11 |