| NPI | 1801762919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANAN PATEL President / Pharmacist In Charge 910-514-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2025-10-15 |
| Last Update Date | 2025-11-03 |