| NPI | 1578574117 |
|---|---|
| Doing Business As | MAGNOLIA SQUARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RALPH ROBERTS Owner 301-739-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P02175) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-02-15 |