| NPI | 1558117077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DUTEAU President 888-843-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |