| NPI | 1649892712 |
|---|---|
| Doing Business As | MLK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JAI SIDDHI VINAYAK Pharmacy Manager 336-722-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |