| NPI | 1043170541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA NAIEM AHMED Owner/Pharmacist In Charge 317-289-0326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |