| NPI | 1790060317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLAWOLE KA ADEOLA Owner 410-415-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD P05566) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD p05566) |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2013-05-22 |