| NPI | 1760899058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW OBUOKOR ANYAN Pharmacist 410-207-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MD 19971) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |