NPI | 1457653883 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIAN D JAKOBOVITS Member 410-580-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MD 1574) |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |