| NPI | 1851835177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRIF MITRY CEO/PIC 540-818-2229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: CA PHY55285) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-03-08 |