| NPI | 1851139232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA BRIGHTLEY Lead Credentialing Specialist 240-297-6758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-09-03 |