| NPI | 1396191862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK DEAR Managing Member 844-231-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332100000X Department of Veterans Affairs (VA) Pharmacy (Licence: TX 1001667) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2017-02-16 |