| NPI | 1265854939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAI SANKAR VUYYURU Pharmacy Manager 267-664-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2016-12-14 |