| NPI | 1689620262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH W PENZENSTADLER President 301-203-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P02491) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD P02491) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-08-21 |