NPI | 1396506036 |
---|---|
Former Legal Business Name | KLMLABS / PHARMACY |
Entity Type | Organization |
Authorized Contact | TONY EUGENE JONES Pharmacist In Charge 800-501-0619 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Enumeration Date | 2024-01-19 |
Last Update Date | 2024-01-19 |