| 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 |