NPI | 1942548367 |
---|---|
Doing Business As | AVALON PROFESSIONAL PHARMACY |
Entity Type | Organization |
Authorized Contact | JASON CHIGOZIE MADUKA Owner 301-383-0142 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD p05883) |
Enumeration Date | 2013-01-18 |
Last Update Date | 2024-03-12 |