| NPI | 1558360040 |
|---|---|
| Doing Business As | D/B/A BRAD'S OLDTOWN ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BRAD THOMAS Owner/Chief Pharmacist 301-729-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD po3132) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-08-10 |