| NPI | 1568027084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAQUINA WARREN Pharmacist In Charge/Owner 443-415-3335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-07-29 |