| NPI | 1982163440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINH NGUYEN Pharmacy Manager 240-929-4934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-05-03 |