| NPI | 1205237476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREENIVASA NALLAPAREDDYGARI CEO/President 810-624-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2020-01-03 |