| NPI | 1134463425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GILMORE President 800-662-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: TN 5094) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |