| NPI | 1902334113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL PATRICK MCGARVEY Owner/Pharmacist 410-787-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD P00948) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: MD P00948) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |