NPI | 1518527704 |
---|---|
Doing Business As | ST. JOSEPH MEDICAL CENTER PHARMACY |
Entity Type | Organization |
Authorized Contact | SYAM POTLURI Managing Member 443-823-3350 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2019-06-19 |
Last Update Date | 2020-04-23 |