| NPI | 1740630862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAPIAMBA MUTEBA Owner 301-404-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy Compounding Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2019-08-05 |