| NPI | 1235579392 |
|---|---|
| Doing Business As | GLEN BURNIE-MED LLC |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE M YALICH President 410-238-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2014-08-20 |