| NPI | 1144869736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVANUS IFEAMAZI Pharmacist In Charge 202-506-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2019-12-30 |