| NPI | 1770286759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D KJOLHEDE Human Resources Generalist 301-942-0442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |