| NPI | 1821642992 |
|---|---|
| Doing Business As | CAPITAL AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JIGNESH PATEL Member 269-339-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2020-03-31 |