| NPI | 1609221647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUO HUNG WONG VP Pharmacy Operations 1407-858-6206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: UT 9771246-1703) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2023-06-22 |