| NPI | 1871837419 |
|---|---|
| Doing Business As | AMENDRX @ NORTHERN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PEPPER KAREN MINTZ COO/President 410-254-2055 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MD PW0363) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-12-01 |