| NPI | 1609512359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAN S MEHTA Owner 540-300-6182 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2023-09-06 |