| NPI | 1558635342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDDY ANNAPPAREDDY Operations COO Rdinator 443-676-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: MD PW0355) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 3336H0001X Pharmacy Home Infusion Therapy Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2013-01-22 |