| NPI | 1154516508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTRY SETSER CEO 800-333-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL BT8024313) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-07-15 |