| NPI | 1417532615 |
|---|---|
| Doing Business As | MIKE'S PHARMACY III |
| Entity Type | Organization |
| Authorized Contact | SANJAY RAYATHATHA Member 410-948-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-08-20 |