| NPI | 1417216235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HAMMETT Authorized Agent 888-948-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TN 5008) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2013-11-04 |