| NPI | 1073692745 |
|---|---|
| Doing Business As | MEDVANTX PHARMACY SERVICES |
| Entity Type | Organization |
| Authorized Contact | SEAN HARMS Pharmacist In Charge 866-744-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: SD 1001913) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2023-08-24 |