| NPI | 1629195045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CICCOLELLA-KAHL President 855-422-2742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 251F00000X Home Infusion |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2024-02-25 |