| NPI | 1518642057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHDI AL HALLAQ COO 502-802-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-12-07 |