| NPI | 1578635009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDDY ANNAPPAREDDY Clinical Pharmacist 443-616-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P04501) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-12-06 |