| NPI | 1548673940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GIVEN VP Finance 475-210-6193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CT 0002197) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2022-08-12 |