| NPI | 1710924212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON HALL PROUDFOOT Pharmacist 301-334-3913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P00589) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |