| NPI | 1851121628 |
|---|---|
| Doing Business As | AMAZON PHARMACY #011 |
| Entity Type | Organization |
| Authorized Contact | KRISTINE LYNN RIOUX Licensing Manager 855-745-5725 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |