| NPI | 1689547895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINJAL PATEL Owner 321-315-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2025-09-24 |
| Last Update Date | 2025-09-24 |