| NPI | 1396324059 |
|---|---|
| Doing Business As | VISTARA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL DESERIO Manager 864-301-8441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-07 |