| NPI | 1679577498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALBERT BECKMAN Owner/President 301-777-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00939) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2011-03-18 |