NPI | 1639860141 |
---|---|
Doing Business As | ETERNA PHARMACY |
Entity Type | Organization |
Authorized Contact | JOANNE M ORTIZ READ Owner 774-232-6859 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2023-05-16 |
Last Update Date | 2023-05-16 |