| NPI | 1659174704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXWELL ATTA Director 800-395-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-04-01 |