| NPI | 1629486634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS STANLEY TYMOCHKO Pharmacist 724-456-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S020662) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |