| NPI | 1124033048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J ELMS Insurance Contracting & Credentiali 412-967-4775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: OH 021233850) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-06-17 |