| NPI | 1801493606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD OST President 267-534-4030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-11-25 |