| NPI | 1700401452 |
|---|---|
| Former Legal Business Name | REVOLUTION MEDS PHARMACY, INC. |
| Doing Business As | REVOLUTION MEDS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK F DOWNING COO 410-276-7586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-10-10 |