NPI | 1376339531 |
---|---|
Doing Business As | STATES DRUG |
Entity Type | Organization |
Authorized Contact | PURVISH MEHTA Pharmacy Manager 631-338-2122 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2025-04-15 |
Last Update Date | 2025-04-15 |