| NPI | 1245001569 | 
|---|---|
| Doing Business As | 15RX PHARMACY #4 | 
| Entity Type | Organization | 
| Authorized Contact | DHIRAJ AJMANI VP Pharmacy Operations 210-684-1579 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy | 
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy | 
| Enumeration Date | 2024-01-15 | 
| Last Update Date | 2024-01-15 |