| NPI | 1245144633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY REGAN Pharmacist In Charge 854-888-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2026-10-01 |
| Last Update Date | 2026-10-01 |