| NPI | 1508222043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR PATEL Partner Manager 267-737-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: PA PP482626) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-12-02 |