| NPI | 1629849831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SREEVIDYA ARVISHETTY Managing Member 210-600-3282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |