| NPI | 1720295983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TAPIA Owner 800-511-5144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028337) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-08-07 |