| NPI | 1013492024 |
|---|---|
| Doing Business As | RADIANCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAYUR VIPIN SHAH Managing Member 909-333-4567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2023-12-21 |