| NPI | 1598972259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA KALRA President 240-338-7472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD BK7654076) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2024-08-14 |