NPI | 1073859997 |
---|---|
Doing Business As | SS PHARMACY |
Entity Type | Organization |
Authorized Contact | VIROOPAKSHA VELISHALA Agent 603-703-4001 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 28374) |
Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
333600000X Pharmacy | |
Enumeration Date | 2012-12-20 |
Last Update Date | 2018-07-19 |