NPI | 1366625279 |
---|---|
Former Legal Business Name | MEDBANK PHARMACY INC |
Entity Type | Organization |
Authorized Contact | NANCY FORNO Operations Mgr/ Asst. Exec. Dir. 410-821-9262 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD PW0220) |
Enumeration Date | 2007-12-13 |
Last Update Date | 2007-12-13 |