| NPI | 1225504186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BINCY VARGHESE Director Of Compliance 888-741-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-06-07 |