| NPI | 1013457597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORATHY CHIAMAKA UBAH Managing Officer 844-404-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2021-02-04 |