| NPI | 1457727968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN GOMBOS Pharmacist 301-968-6886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 23035) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |