| NPI | 1356810840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF BAEK President 346-412-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2020-09-30 |