| # |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
| 1 | 3336C0003X | Community/Retail Pharmacy | OSP.0006439 | CO |
| 2 | 3336C0003X | Community/Retail Pharmacy | PHY48241 | CA |
| 3 | 3336C0003X | Community/Retail Pharmacy | PHA-MOP-LIC-42811 | MT |
| 4 | 3336C0003X | Community/Retail Pharmacy | 43844MS | ID |
| 5 | 3336C0003X | Community/Retail Pharmacy | 64002232A | IN |
| 6 | 3336C0003X | Community/Retail Pharmacy | 4766 | IA |
| 7 | 3336C0003X | Community/Retail Pharmacy | PHNR001053 | GA |
| 8 | 3336C0003X | Community/Retail Pharmacy | PH29533 | FL |
| 9 | 3336C0003X | Community/Retail Pharmacy | 12966 | NC |
| 10 | 3336C0003X | Community/Retail Pharmacy | PMP-1341 | HI |
| 11 | 3336C0003X | Community/Retail Pharmacy | 22-45091 | KS |
| 12 | 3336C0003X | Community/Retail Pharmacy | A9-0001934 | DE |
| 13 | 3336C0003X | Community/Retail Pharmacy | 265200 | MN |
| 14 | 3336C0003X | Community/Retail Pharmacy | 2016028417 | MO |
| 15 | 3336C0003X | Community/Retail Pharmacy | 100646 | AK |