| NPI | 1255872107 |
|---|---|
| Doing Business As | VISTARA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THITA BORSANIA Pharmacist In Charge 843-713-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 17140) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 333600000X Pharmacy | |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2021-06-29 |