| NPI | 1306168232 |
|---|---|
| Doing Business As | SUBURBAN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVINDER RAO ANNAMANENI Secretary 848-218-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2010-02-19 |
| Last Update Date | 2010-02-19 |