NPI | 1790441897 |
---|---|
Doing Business As | IMC NEIGHBORHOOD PHARMACY |
Entity Type | Organization |
Authorized Contact | FIDELIS IFEANYI ARIGUZO Pharmacist In Charge 918-576-6602 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2021-11-12 |
Last Update Date | 2021-11-12 |