| NPI | 1740047588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHENOUDA MOURGAN COO 410-603-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |