| NPI | 1417832577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MANDOLI Chief Operations Officer 667-408-7767 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |