NPI | 1417296070 |
---|---|
Entity Type | Organization |
Authorized Contact | WAYNE DYKE Chief Executive Officer 443-750-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NJ D10144500) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2013-02-01 |