NPI | 1851764740 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTO LICIER Pharmacist 410-918-0790 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MD 10970) |
Enumeration Date | 2015-11-02 |
Last Update Date | 2015-11-02 |