NPI | 1447013537 |
---|---|
Entity Type | Organization |
Authorized Contact | ELVIN MONTANEZ COO 888-292-0744 |
Organization Subpart ? | Yes |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
3336M0002X Pharmacy, Mail Order Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-08 |