| NPI | 1518328038 |
|---|---|
| Doing Business As | MIKE'S PHARMACY II |
| Entity Type | Organization |
| Authorized Contact | SHALENDRA CHERUKURI Member 410-255-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD P07151) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2021-03-10 |