| NPI | 1154469146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MCCANN Pres 267-725-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP412934L) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-31 |