| NPI | 1902313166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH ZELLER Officer 888-463-9765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31601) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-01-09 |