| NPI | 1174334890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBAREEN MASOOD CEO/CFO/Sec 866-994-1218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-10-07 |