| NPI | 1649706912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF ERIC STEINBERG President 202-725-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: DC PO1000040) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2017-05-05 |