| NPI | 1790597037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESHKUMAR PATEL Officer In Charge Of Licensing 855-844-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2025-01-23 |
| Last Update Date | 2025-01-23 |