| NPI | 1669515763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA WHITE Owner 866-290-6867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: SC 50008792) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2020-08-22 |