| NPI | 1386893642 |
|---|---|
| Doing Business As | EAST PINES PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | OMOTAYO AWOTUNDE President 301-459-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P04821) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-03-10 |