| NPI | 1447578000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL MUNDEN Chief Operating Officer 800-769-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2004036400) |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2010-05-06 |