| NPI | 1710288360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKHI DE Director / Pharmacist In Charge 301-595-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2012-10-05 |