| NPI | 1578095576 |
|---|---|
| Doing Business As | WHITESELL LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WESTBROOK President 301-662-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0514) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-07-19 |