| NPI | 1124711411 |
|---|---|
| Other Name | EVIO STORE POWERED BY BIRDI RX |
| Entity Type | Organization |
| Authorized Contact | THOMAS BOSTWICK Director Mail Operations 248-380-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-06-01 |
| Last Update Date | 2024-02-14 |