| NPI | 1588973812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN E SWINTON Credentialing Director 301-257-2797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2025-07-25 |