| NPI | 1376145995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMAS GUTHRIE Pharmacist In Charge 800-398-9650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |