| NPI | 1629371679 |
|---|---|
| Doing Business As | PRIMA VISTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JACLYN L RUBINO-UHL Owner 772-233-8374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-14 |