| NPI | 1275671851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL PATEL Owner/AO 803-804-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: SC 17493) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2019-01-25 |