| NPI | 1467730713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELALI ADEKA Pharmacist 571-214-1034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25575) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |