| NPI | 1821170366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MACK CEO 800-330-3665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: CA 54574) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2018-07-19 |