| NPI | 1912873969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD BEINHAUER Managing Member 855-462-7259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2026-01-20 |