| NPI | 1770931677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MOONEY THOMPSON Director Of Pharmacy Operations 866-855-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy Mail Order Pharmacy |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-03 |