| NPI | 1720450406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BUKOLA AJIBADE Pharmacist 410-601-3136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P06953) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2022-03-15 |