| NPI | 1063001873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKUR PATEL Pharmacist In Charge 954-649-1670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-03-14 |