NPI | 1174538797 |
---|---|
Entity Type | Organization |
Authorized Contact | HARRISON EGBIREMOLEN President 410-467-0634 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0268) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-07-30 |
Last Update Date | 2010-06-01 |