| NPI | 1558318048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH POZANEK Pharmacy Director 410-939-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 516620900) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2025-06-16 |