| NPI | 1679878185 |
|---|---|
| Doing Business As | NANTICOKE PHARMACY, LLC |
| Entity Type | Organization |
| Authorized Contact | BIMAL DAS Owner/PIC 954-570-9948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: DE A3-0000927) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2018-07-19 |