| NPI | 1356814529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MAE YOUNG Director Of Regulatory Affairs 234-226-4125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2020-12-09 |