| NPI | 1205642246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SIMITYAN Secretary/CFO 877-570-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |