| NPI | 1821307356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIC PATEL Owner, AO 803-804-4735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: SC 11162) |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2019-01-25 |