| NPI | 1730757931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITESH MARADIA Owner 469-709-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-12-28 |