| NPI | 1972916682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FUNMILAYO FADINA Owner 443-904-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: MD P06385) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2021-04-12 |