NPI | 1487298881 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA DAWN CICCOLELLA-KAHL President, Director 800-511-5144 |
Organization Subpart ? | No |
Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
Enumeration Date | 2019-10-30 |
Last Update Date | 2024-05-22 |