| NPI | 1720706625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVAM HARESH BHANVADIA Member 480-256-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-05-28 |