NPI | 1295201051 |
---|---|
Doing Business As | FATE PHARMACY |
Entity Type | Organization |
Authorized Contact | HARI KRISHNA CHINTAPALLI Officer 305-781-2454 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2018-10-19 |
Last Update Date | 2020-11-09 |