| NPI | 1649720483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VISHAL PATEL PIC 336-455-1263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NC 13078) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-07-24 |