| NPI | 1598281263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BRONFEIN Senior Vice President 443-927-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2018-08-10 |