| NPI | 1568508117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HENDERSON VP 410-877-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00435) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2019-03-27 |