| NPI | 1265923676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY PHILLIPS Vice President/Owner 240-802-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: MD P07607) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P07607) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2019-06-11 |