| NPI | 1710342464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITRA GAVGANI VP, Phcy Services, AO 410-288-8766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P07682) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2018-04-19 |