| NPI | 1811519176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH KUEMETA Owner 202-487-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2020-05-10 |
| Last Update Date | 2020-05-10 |