NPI | 1477558112 |
---|---|
Doing Business As | MAIN STREET PHARMACY |
Entity Type | Organization |
Authorized Contact | ALI H THAKKAR Owner 301-317-3838 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: MD 16959) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2005-06-18 |
Last Update Date | 2023-09-14 |