| NPI | 1164428355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYNN MATHEWS Assistant Controller 240-499-2683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD D01792) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-08-22 |