| NPI | 1598978199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAMES BURKHOLDER Director 301-698-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0242) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |