| NPI | 1982099107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMEBET ALEMAYEHU Pharmacist In Charge 443-546-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MD P06676) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-04-03 |