| NPI | 1336524271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MCNEW NGUYEN Director 855-497-7956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29242) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-07-18 |