| NPI | 1194760520 |
|---|---|
| Doing Business As | WAVERLY PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ADESOLA HAKEEM OTUBANJO PIC 410-467-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P02225) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2010-03-11 |