| NPI | 1093956062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAVID CALVIN CEO 877-800-5722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26364) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2025-04-30 |