| NPI | 1306117916 |
|---|---|
| Doing Business As | POPLAR GROVE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | SUSAN NWOGA Pharmacy Manager 443-955-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05639) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2018-07-19 |