| NPI | 1932674264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOURY ROFAYEL Co Owner 240-413-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2018-10-13 |
| Last Update Date | 2020-02-24 |