| NPI | 1841515848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMAD MAKKI Director 888-847-3088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336C0002X Pharmacy, Clinic Pharmacy |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2011-02-05 |