| NPI | 1720167497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN OPARA Owner 410-566-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: MD D0022929) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |