| NPI | 1104166552 |
|---|---|
| Doing Business As | MIKE'S PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHALENDRA CHERUKURI Member 267-408-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P05941) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2016-06-23 |