| NPI | 1144713850 |
|---|---|
| Doing Business As | CENTRA RX |
| Entity Type | Organization |
| Authorized Contact | JOHN MANSOUR Pharmacist 877-218-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH31436) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |