| NPI | 1730813148 |
|---|---|
| Doing Business As | GOTHAM PENN SURGICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAGHU MURUPURI President 917-688-1288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |