| NPI | 1033389374 |
|---|---|
| Doing Business As | MEDIDERMRX |
| Entity Type | Organization |
| Authorized Contact | LAUREL LINTON Owner 800-966-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IL 054013136) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2016-01-27 |