| NPI | 1053062406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARIAH REITANO President 888-798-8686 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |