NPI | 1104826858 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA NIKITIN EVP, CFO 346-426-0462 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0002X Pharmacy Clinic Pharmacy (Licence: TX 02092) |
Additional Taxonomies | 333600000X Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2005-07-22 |
Last Update Date | 2024-11-21 |