| NPI | 1629589908 |
|---|---|
| Doing Business As | CITIZEN PHARMACY # 712 |
| Entity Type | Organization |
| Authorized Contact | VIPUL MAMTORA Member Manager 904-440-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2025-12-15 |