| NPI | 1396178133 |
|---|---|
| Doing Business As | WYNNEFIELD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HEMANTH SAMBARAJU President 267-353-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: PA PP482396) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |