| NPI | 1477091288 |
|---|---|
| Doing Business As | HI-DESERT MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PRINCE MENSAH Pharmacist In Charge 646-468-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 54564) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-12-21 |