| NPI | 1417349978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMSON BACOLOD Owner 424-280-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-05-22 |