| NPI | 1831467240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN BIEMER Operations COO Rdinator 443-377-4678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P05605) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2012-09-14 |