| NPI | 1073914990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER HOFF CEO 877-863-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: NE 0004002860) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |