| NPI | 1336142058 |
|---|---|
| Doing Business As | MT VERNON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN M WIENNER President 410-539-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P02306) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2024-03-06 |