| NPI | 1699516575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTVIJ PARIKH Owner 980-880-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0003X Pharmacy Community/Retail Pharmacy | |
| 3336C0004X Pharmacy Compounding Pharmacy | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-06-04 |