| NPI | 1659706745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINA SEMSARZADEH Pharmacist And Owner 317-850-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: IN 60006356A) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: IN 60006356A) |
| Enumeration Date | 2013-09-07 |
| Last Update Date | 2013-10-28 |