LAUREL MAIN STREET PHARMACY INCORPORATED

Clinic/Center — Primary Care

Code: 261QP2300X

Durable Medical Equipment & Medical Supplies

Code: 332B00000X

Pharmacy — Clinic Pharmacy

Code: 3336C0002X

Pharmacy — Community/Retail Pharmacy

Code: 3336C0003X

Pharmacy — Long Term Care Pharmacy

Code: 3336L0003X