| NPI | 1033755731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN HAMMOND Sr. Manager Of Operations 800-874-5881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-08-15 |