| NPI | 1376933119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH FREEMAN Chief Clinical Officer 800-791-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2022-04-25 |