NPI | 1215727607 |
---|---|
Doing Business As | MLK PHARMACY |
Entity Type | Organization |
Authorized Contact | DAVID MIKE PATEL Managing Member / PIC 336-722-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-05-08 |