| NPI | 1821492745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM COOPER Ambulatory Phcy Mgr, PIC 410-543-7047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DE A3-0000981) |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2024-01-31 |