| NPI | 1477618502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE BONSTALLI Lead Pharmacist 240-529-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2021-05-26 |