| NPI | 1114681616 |
|---|---|
| Doing Business As | TINY TOWN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MAULIK PATEL Officer 000-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-03-25 |