| NPI | 1528309366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRUZITA KIMBERLY BRYANT Assistant Area Operations Manager 240-848-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 13942) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |