| NPI | 1417453325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIWOT FEKADE Manager 443-759-7062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-01-29 |