| NPI | 1013394659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS CONZO Director Of Operations 877-577-1447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2021-07-15 |