| NPI | 1255429973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FLORENCE ROWNAGHI Pharmacy Manager 301-495-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MD PW0211) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-11-22 |