| NPI | 1437513876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GULLEY Vice President 769-230-8335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2022-04-13 |