| NPI | 1790094837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARNEY KENT ABBOTT Manager 866-403-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 27161) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2022-10-10 |