| NPI | 1760272421 |
|---|---|
| Other Name | PROSPECTVILLE PHARMACY LTC |
| Entity Type | Organization |
| Authorized Contact | NILESH ROKAD Auth Official 267-218-4747 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |