| NPI | 1902127087 |
|---|---|
| Doing Business As | SHADY GROVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHEILA ALIZADEH Co Owner/PIC 240-731-2813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 17034) |
| Enumeration Date | 2010-06-12 |
| Last Update Date | 2010-06-12 |