Organization
WELLNESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M MUKITI (PHARMACIST)
(443) 278-3378
Entity
Organization
Contact information
Practice address
1039 W BALTIMORE ST, BALTIMORE, MD 21223-2523
(443) 278-3378
Mailing address
1039 W BALTIMORE ST, BALTIMORE, MD 21223-2523
(443) 278-3378
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17603
MD
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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