| NPI | 1497147557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A KLEIN Doctor 240-447-3867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MD 01302) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-03-01 |