| NPI | 1710454186 |
|---|---|
| Doing Business As | LAUREL HEIGHTS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PREM KALIDINDI Managing Member 210-881-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |