| NPI | 1659656932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CRAMER Compliance Officer 443-512-8966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05567) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |