NPI | 1629010483 |
---|---|
Doing Business As | BROADNECK PHARMACY |
Entity Type | Organization |
Authorized Contact | MARCUS LACHAPELLE President 410-544-3733 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05349) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-06-12 |
Last Update Date | 2017-02-14 |