| NPI | 1528316908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ELMER President/Owner 800-947-2711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IN 60006167A/B) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |