NPI | 1245710920 |
---|---|
Doing Business As | ARKLATEX SPINE |
Entity Type | Organization |
Authorized Contact | MACKENZIE HAHN Ncpdp Coordinator 855-296-3757 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: LA MD.020437) |
Enumeration Date | 2018-08-21 |
Last Update Date | 2018-08-21 |