| NPI | 1922339902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REDDY ANNAPPAREDDY Manager 443-616-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 13939) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |