| NPI | 1225127152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEMITOPE OULWAYEMISI GBOLAGUN Owner / President/Pharmacy Mgr 410-654-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD P04406) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-03-12 |