| NPI | 1487687653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES HAYLETT Owner 81433-788-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP413389L) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-03-07 |