| NPI | 1164988598 |
|---|---|
| Doing Business As | PATRIOT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SHAI FELLAH Member 267-800-7087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |