| NPI | 1669608667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UCHENNA EKWUNAZU Chief Pharmacist 410-800-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD 05148) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2025-04-14 |