| NPI | 1063917227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED SANFORD President And CEO 888-949-4864 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: UT 10836482-1704) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-10-11 |