| NPI | 1851168413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE B PERRY PIC 833-855-1769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2024-02-28 |