| NPI | 1417354085 |
|---|---|
| Doing Business As | PROFESSIONAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WAYNE D. VANWIE Pharmacist/Owner 410-687-8113 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD MD11499) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |