| NPI | 1669511465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE SARACINO Manager, Administrative Services 410-540-4492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC RX1200014) |
| Additional Taxonomies | 333600000X Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-02-16 |