| NPI | 1396573838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENT ADEBOYE ADEBAYO Pharmacist In Charge 443-453-9383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |