NPI | 1235241175 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAM MAHABIR Director 386-238-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH0015571) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |