| NPI | 1689698383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE SHAFER Owner 267-487-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: MD PW0278) |
| Additional Taxonomies | 3336I0012X Pharmacy, Institutional Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2008-06-26 |