| NPI | 1346777000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL RAKOWSKI Managing Memebr 800-718-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: VA 0201004590) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |