| NPI | 1528306032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN RICHMAN Director Of Contracts And Credentia 800-757-9192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NC 11437) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336M0002X Pharmacy Mail Order Pharmacy | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2025-01-21 |