| NPI | 1609120930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFI DEI GBOMITA Owner/President/CEO 267-664-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482271) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-08 |