| NPI | 1922513167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFIA AHSAN Pharmacist In Charge 410-505-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2025-03-07 |