| NPI | 1649520859 |
|---|---|
| Doing Business As | WILLOW PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DARREN MARTIN PIC 877-558-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA PHY.006595-IR) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2016-08-24 |