| NPI | 1467821173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARA PATEL Owner 877-828-3940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: PA PP482586) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy (Licence: PA PP482586) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PA PP482586) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: PA PP482586) | |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2022-12-20 |