| NPI | 1982205654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDI TOLF 3 Rd Party COO Rdinator 734-214-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2020-11-08 |
| Last Update Date | 2023-08-18 |