| NPI | 1629589908 |
|---|---|
| Doing Business As | CITIZEN PHARMACY # 712 |
| Entity Type | Organization |
| Authorized Contact | VIPUL MAMTORA Member Manager 844-224-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-08-05 |