| NPI | 1750058129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LOOMIS CEO 844-426-9843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |