| NPI | 1730559709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF REZKALLA Pharmacist 410-951-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD pw 0245) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |