| NPI | 1407110604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE KIGOTHO Pharmacist/Owner 202-704-6508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2012-07-02 |