| NPI | 1336922681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIEU BAO Owner/Pharmacy In Charge 443-281-9157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |