| NPI | 1316483258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY PARKER CEO 800-964-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: FL PH30519) | |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2022-08-15 |