| NPI | 1770985061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN WIENNER President 410-962-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD p05345) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MD P05345) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |