| NPI | 1386363323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OFOSU MELFAH President 915-408-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 183500000X Pharmacist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-11 |