| NPI | 1811162068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL RICHARD VALENTINO Vice President Of Sales 770-246-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |