| NPI | 1104735943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUSHAL VAGHANI Owner 757-877-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2026-09-07 |
| Last Update Date | 2026-09-08 |