| NPI | 1023806957 |
|---|---|
| Doing Business As | MIRAMEDX PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ABIR KANSO Pharmacist In Charge 626-787-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-05-14 |