| NPI | 1467926717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MAROULIS Vice President 689-263-5021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 333600000X Pharmacy | |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2026-06-05 |