| NPI | 1407513468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS WILLIAM BRICKLEY Vice President 800-735-9111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |