| NPI | 1154418341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY WILLS Manager 301-790-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD P01199) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-02-15 |