| NPI | 1154759603 |
|---|---|
| Doing Business As | GREENWAY TANTRA DRUGSTORE |
| Entity Type | Organization |
| Authorized Contact | BABATUNDE GHANNI Manager, PIC 602-993-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: AZ Y005773) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2017-04-06 |