| NPI | 1679909576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMPHANIDHAR NADIMPALLI Pharmacist 240-426-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482422) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2018-03-12 |