| NPI | 1366706244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER HAYCOX VP Of Revenue Operations 870-403-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AK 112770) |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IA 4675) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IL 054.020009) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: HI PMP1279) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KY AR2157) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH29984) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: KS 22-45089) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT PCN.0003097) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: ID 41734MS) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CO OSP.0006831) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: IN 64002098A) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: GA PHNR000959) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: LA PHY.007361-NR) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DE A9-0001928) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: DC NRX1801311) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-07-19 |