NPI | 1831304799 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE K PPOOL CEO 270-365-3903 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-10-06 |