| NPI | 1356778971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADJARHO EGBEGBADIA Manager 410-929-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06257) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2014-04-23 |