| NPI | 1174309850 |
|---|---|
| Doing Business As | PILLSOURCE PHARMACY INC. |
| Entity Type | Organization |
| Authorized Contact | BORIS MAKSUMOV Owner 954-736-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2024-05-09 |