| NPI | 1043170541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA NAIEM AHMED Authorized Official 317-345-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2026-04-20 |