| NPI | 1669024568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE NEIL VP Operations 844-328-2048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |