| NPI | 1861975807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA GENAVIVE ZARZECKI Pharmacist 443-703-8965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2018-09-14 |