| NPI | 1811498512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANTOINETTEE ROACH Owner 301-442-7253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336I0012X Pharmacy, Institutional Pharmacy (Licence: DC PHA3183) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: DC PHA3183) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: DC PHA3183) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2018-02-27 |