NPI | 1437271194 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY FELHAUER Lead Billing Supervisor 443-557-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: MD pw0234) |
Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: MD pw0234) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2022-12-14 |