NPI | 1477876159 |
---|---|
Doing Business As | BOOMER SOLUTIONS |
Entity Type | Organization |
Authorized Contact | KYLE SIMMONS Pharmacy Manager 877-774-3706 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: OK 48-6828) |
Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2010-03-09 |
Last Update Date | 2015-12-02 |