| NPI | 1508212382 |
|---|---|
| Doing Business As | PRESTIGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AMI PATEL Owner 678-315-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |