| NPI | 1689030470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOONEY THOMPSON Director Of Pharmacy Operations 866-855-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: FL PH29738) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: IA 4635) |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: WI 1648-43) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MD P07139) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0214001819) | |
| 3336M0002X Pharmacy Mail Order Pharmacy (Licence: LA PHY.007319-NR) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MN 264992) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SD 400-1538) | |
| 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MS 14722/7.1) | |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-06-23 |