| NPI | 1700095973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRETT STEWART Principal 800-861-4965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: AL 23857) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 50009230) |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: NC 08942) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-09-11 |