| NPI | 1962271650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA HUNT Corporate Director Of Compliance Co 800-589-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2024-01-09 |