| NPI | 1538618459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MCCABE Secretary 820-245-4968 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2026-07-09 |