| NPI | 1407316870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WASSEM GIRGIS Director Of Pharmacy 754-777-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-03-22 |