| NPI | 1053857904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PURSCELL President 800-552-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VT 038.0088708) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-04-23 |