| NPI | 1255132726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMBABU KALAHASTHI Pharmacy Manager 810-213-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |