| NPI | 1205351574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTHI GUJARATHI Owner 205-253-9908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 31547) |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2022-07-21 |