| NPI | 1720978729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKIS JOHNSON Owner 443-764-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |