| NPI | 1336326784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRAJIT VYAS Owner/ Mgr 877-490-8987 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25399) |
| Additional Taxonomies | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: FL Pending) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2011-06-29 |