| NPI | 1932265816 |
|---|---|
| Doing Business As | CENTRAL AVENUE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEVEN ANIFOWHOSHE Owner 410-276-3532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P04004) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-09-17 |