| NPI | 1619428240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA MARIE D'URSO Pharm D 937-790-0098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD 23901) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |