| NPI | 1417264458 |
|---|---|
| Doing Business As | MT. VERNON PHARMACY AT FALLSWAY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN WIENNER President 410-539-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05345) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-03-06 |