| NPI | 1962532689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI D GHITMAN Manager Of Mail Order Pharmacy 866-507-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2008-07-08 |