| NPI | 1558930305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENOUDA MOURGAN Owner 410-603-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-08-01 |