| NPI | 1811626542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH E FALKENRATH President 833-360-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-06-08 |