| NPI | 1871700435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS BERKOFF VP, CFO 800-995-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NV PH01471) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: NV PH01471) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-09-07 |