| NPI | 1871067207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPTH T BUTZ Chief Operating Officer 301-816-5867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0003X Pharmacy Managed Care Organization Pharmacy |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2021-05-27 |