| NPI | 1619213212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON PETERS Managing Member/President 901-201-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AK 1314) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CO OSP.0006189) |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: HI PMP.833) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: AZ Y005790) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: DE A9-0001296) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IN 64001473A) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IL 054.018178) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: ID 34084MS) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: GA PHNR000415) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: IA 4155) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CA NRP1461) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: FL PH27151) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: CT PCN.0002570) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: DC NRX0000453) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: KS 22-13044) | |
| Enumeration Date | 2012-12-31 |
| Last Update Date | 2018-11-28 |