| NPI | 1861021362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY WILLEY Owner 302-353-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2022-01-18 |