| NPI | 1588913701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIMAL BAROT Pharmacist/Manager 239-246-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: GA PHRE009866) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2012-09-04 |