| NPI | 1245245851 |
|---|---|
| Doing Business As | SHADY GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHEILA ALIZADEH Owner 240-731-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05361) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2015-03-31 |