| NPI | 1538552195 |
|---|---|
| Doing Business As | SYWELL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVI MORISETTY Owner/President 646-641-1193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0003X Pharmacy, Managed Care Organization Pharmacy (Licence: TX 28297) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |