NPI | 1407461593 |
---|---|
Doing Business As | ORTHOPAEDIC & SPORTS CLINIC |
Entity Type | Organization |
Authorized Contact | MACKENZIE HAHN Ncpdp Coordinator 888-590-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |