| NPI | 1790564417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON C MADUKA Pharmacy Owner/Pharmacy Manager 301-383-0142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2024-03-18 |