| NPI | 1558837914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY HANSON Corporate Officer 888-741-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2019-08-27 |