| NPI | 1609350412 |
|---|---|
| Doing Business As | MT PROSPECT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AQSA KHAN Owner 862-240-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2024-04-09 |