| NPI | 1437984556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE JOSEPH Pharmacist In Charge 779-800-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |