| NPI | 1679042105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE OJI Clin Director 301-332-4348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |