| NPI | 1952477374 |
|---|---|
| Doing Business As | EXTRACARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABDULMOJEED ADEWALE LAWAL Manager 410-332-4666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 09734) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2009-11-13 |