NPI | 1700242740 |
---|---|
Entity Type | Organization |
Authorized Contact | YOUSSEF KHALIFA Pharmacy Supervisor 319-610-3091 |
Organization Subpart ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60570288) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2016-01-06 |