| NPI | 1780053769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARSHAD ALI MOHAMMED Owner 9544-040-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL ph29389) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL ph29389) |
| Enumeration Date | 2015-09-19 |
| Last Update Date | 2015-09-19 |