| NPI | 1326652371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASHANT AMRUTLAL KOYANI Member 619-343-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2024-02-08 |