| NPI | 1720629504 |
|---|---|
| Doing Business As | MIDTOWN PHARMACY 4 |
| Entity Type | Organization |
| Authorized Contact | DHARMESH GHELANI President 414-800-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |