NPI | 1437646403 |
---|---|
Entity Type | Organization |
Authorized Contact | MACKENZIE HAHN Ncpdp Coordinator 888-590-0808 |
Organization Subpart ? | No |
Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: OH RJ170641) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2018-04-16 |