| NPI | 1194927996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAIDE AJEIGBE Pharmacy Manager 240-398-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P04559) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |