| NPI | 1861894156 |
|---|---|
| Doing Business As | MT. VERNON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN WIENNER President 410-539-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |