NPI | 1053712554 |
---|---|
Doing Business As | MOSAIC PHARMACY SERVICE |
Entity Type | Organization |
Authorized Contact | PATRICK DANIEL BAKER SVP/General Manager 202-507-2071 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: VA 0201004594) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-09-16 |
Last Update Date | 2021-12-10 |