| NPI | 1417725722 |
|---|---|
| Doing Business As | INDEPENDENCE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAMESH ANUMALA Managing Member 469-885-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |