| NPI | 1780242800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK ROBERT HENDERSON Pharmacy Director 410-420-8220 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-09-12 |