| NPI | 1497432090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHU TRINH Director Of Pharmacy Operations 833-428-7284 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2023-07-05 |