| NPI | 1750567335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL N SOURANIS President 410-633-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD PO1845) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD PO1845) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |