| NPI | 1851792840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE BOUYOUKAS Pharmacy Supervisor 410-290-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 22488) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |