| NPI | 1477012748 |
|---|---|
| Doing Business As | VISTARA PHARMCY |
| Entity Type | Organization |
| Authorized Contact | RAJDEEP PATEL Owner 865-328-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2019-05-29 |