NPI | 1871686212 |
---|---|
Entity Type | Organization |
Authorized Contact | PRINCE DENNIS Owner 301-203-3382 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0271) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
332B00000X Durable Medical Equipment & Medical Supplies | |
3336S0011X Pharmacy, Specialty Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2006-09-30 |
Last Update Date | 2007-08-29 |