| NPI | 1891227922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE GREAVER Director Of Licensing 443-632-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2018-11-16 |