| NPI | 1588400907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DANIEL BELLAMY CEO 410-735-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2025-07-10 |