| NPI | 1245747328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT ABBOTT CEO 866-219-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: FL PH31107) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2024-03-06 |