| NPI | 1760885297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHORE SINGIRIKONDA Managing Officer 269-903-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29537) |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-10-01 |