| NPI | 1073625075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY KENT ABBOTT President/CEO 866-219-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: MS 04760) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-22 |