| NPI | 1083157036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KONAK VP, Reimbursement Revenue Cycle Mgt 877-662-6633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: NY 030717) |
| Enumeration Date | 2016-11-23 |
| Last Update Date | 2024-11-20 |