| NPI | 1982471728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVI JAYANTI PATEL Vice President 240-418-4482 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-08-12 |