| NPI | 1679614523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERYLN CRANDON Owner,Rph,AO 301-445-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P02300) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-12-01 |