| NPI | 1710343041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JENSEN President 800-511-5144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 25485) |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2020-03-11 |