| NPI | 1104665173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS WAKEFIELD Manager 412-477-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-23 |