| NPI | 1346846771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIR M SADEGHI Pharmacist In Charge 866-396-0288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |