| NPI | 1134819097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIREN PATEL Pharmacy Manager/Owner 267-441-4189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2023-05-12 |
| Last Update Date | 2024-03-15 |