| NPI | 1679639348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL B. SMITH VP Finance/CFO 443-997-1312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: MD P01688) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P01688) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2022-07-21 |