| NPI | 1952514580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB R RAITT Acting Director Pharmacy 410-266-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD PW0229) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |