| NPI | 1801013347 |
|---|---|
| Other Name | MCINNIS HOUSE CLINIC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AGNES W LEUNG Chief Financial Officer 857-654-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-12-07 |