| NPI | 1649539578 |
|---|---|
| Doing Business As | DRUG 123 |
| Entity Type | Organization |
| Authorized Contact | SHLONDA WILLIAMS COO/PIC 570-409-6003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2014-01-29 |