| NPI | 1558656892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIN LEUNG Director Of Pharmacy Operations 866-630-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy (Licence: NY 025424) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |