NPI | 1336554575 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL NYARKO CEO 302-323-1687 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DE A3-0000970) |
Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
332B00000X Durable Medical Equipment & Medical Supplies | |
333600000X Pharmacy | |
3336M0003X Pharmacy Managed Care Organization Pharmacy | |
Enumeration Date | 2014-06-26 |
Last Update Date | 2025-06-19 |