| NPI | 1316501638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIL VIRANI Managing Partner 346-267-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2019-04-23 |