| NPI | 1255816526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDIPKUMAR A PATEL President/Pharmacist 757-373-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |