| NPI | 1215319090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THUYLAN PHAM Director 301-980-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06870) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-11-20 |