NPI | 1457628752 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRTI GUPTA Pharmacist 267-258-3445 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: PA rp1003187) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2011-11-30 |