| NPI | 1396422994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRINH Director Of Pharmacy Operations 833-428-7284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |