| NPI | 1659764181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTKARSH DESAI Vice President 240-912-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P07896) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P06646) |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy (Licence: MD P07896) | |
| 3336S0011X Pharmacy Specialty Pharmacy (Licence: MD P07896) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2018-08-14 |