| NPI | 1730879784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW NYE Pharmacist 410-252-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-02-22 |