| NPI | 1770873135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRAJIT VYAS Owner/Mgr 877-490-8987 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25399) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |