| NPI | 1639779366 |
|---|---|
| Doing Business As | DIVINE ESSENTIALS PHARMACY/COMPOUNDING & MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | DIVINE OPUNI-FRIMPONG Manager 183-286-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-11-23 |