| NPI | 1295142347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM KINCEL Senior Account Executive 800-947-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL ps39603) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IL 051038125) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |