| NPI | 1932239662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY PITI VP 800-228-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy Mail Order Pharmacy (Licence: NE 2104NE) |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-09-29 |