| NPI | 1114335296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERINA GUIRGUIS Pharmacist In Charge 855-939-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2023-06-08 |