| NPI | 1609480375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALA KODE President 863-547-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy Specialty Pharmacy |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |