| NPI | 1982866075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM BORDER Authorized Signer 800-225-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |