| NPI | 1508508466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTI PATEL Owner/ President 931-319-6949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-20 |