NPI | 1639626807 |
---|---|
Entity Type | Organization |
Authorized Contact | LATHA THIMMASANDRA CHANDRASHEKARIAH Member 917-962-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |