| NPI | 1902970429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHZAD SAMARI Vice President 301-947-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: MD P04493) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-04-21 |