| NPI | 1538373691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ELDRIDGE President/Owner 866-827-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006056a) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-05-12 |