| NPI | 1457835654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVIKA PATEL Pharmacist 629-203-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |