| NPI | 1992186969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD THOMPSON CEO 888-853-1043 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IA 1534) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |