NPI | 1578128088 |
---|---|
Doing Business As | RADIANCE PHARMACY |
Entity Type | Organization |
Authorized Contact | MAYUR VIPIN SHAH Managing Member 909-333-4567 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2019-05-09 |
Last Update Date | 2024-02-07 |