NPI | 1972926178 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIKA HOFFMAN CEO 877-467-7679 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: CA PHY51179) |
Enumeration Date | 2014-01-24 |
Last Update Date | 2018-04-06 |