| NPI | 1215799275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYEL TORRELL MORAN Managing Member 769-242-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-02-26 |