| NPI | 1477257723 |
|---|---|
| Doing Business As | FATE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | HARI KRISHNA CHINTAPALLI Officer 305-781-2454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |