| NPI | 1275247918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINJAL PATEL Pharmacist In Charge 551-580-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2025-02-14 |