| NPI | 1346759651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHIRAJ AJMANI Pharmacist 210-684-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2021-08-25 |