| NPI | 1598908659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SAMUEL CUNDIFF Owner 443-949-8373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD pw0327) |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2026-03-02 |