| NPI | 1932333226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN DANIEL BELLAMY CEO 410-735-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P04996) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| 3336M0003X Pharmacy Managed Care Organization Pharmacy | |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2025-09-02 |