NPI | 1033528013 |
---|---|
Doing Business As | HIGHLANDTOWN PHARMACY INC |
Entity Type | Organization |
Authorized Contact | VINAY KUMAR DASARI Manager 667-212-3621 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06471) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2014-08-04 |
Last Update Date | 2016-12-13 |