| NPI | 1457886558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABTIN YOUSSEFI Pharmacist 301-569-6907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-01-04 |