| NPI | 1255629671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND SHAH CEO/Director 267-257-3364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: VA 0201004412) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2017-01-17 |