| NPI | 1447003769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN KELLY Pharm D 410-228-3322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |