| NPI | 1215727607 |
|---|---|
| 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 |