| NPI | 1306597117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILIA FOMUSO Director 240-506-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-26 |