| NPI | 1669453569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA J FINLEY Authorized Agent 800-225-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: TX 25061) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: TX 25061) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 25061) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2008-06-17 |