| NPI | 1366488165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DIPAULA Area Mgr 443-276-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD P01898) |
| Additional Taxonomies | 3336C0002X Pharmacy Clinic Pharmacy |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |