| NPI | 1316684616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENWALJIT SINGH BAINS Owner/President 954-895-9454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2022-05-18 |