| NPI | 1548701121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITTE VEZERTZIS President/Owner 606-316-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-07-14 |