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 |