| NPI | 1730042292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKSHAR PATEL Member 678-977-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-12-03 |
| Last Update Date | 2025-12-03 |