| NPI | 1033973789 |
|---|---|
| Doing Business As | SOURCERX |
| Entity Type | Organization |
| Authorized Contact | HAYDEN COLLIER Pharmacist In Charge 888-862-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |