| NPI | 1477599967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTRY SETSER Pres 800-333-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME56376) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-09-25 |