| NPI | 1407624257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMBI MCQUADE-JONES President And CEO 765-742-1567 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-12-12 |
| Last Update Date | 2024-02-14 |