| NPI | 1841163417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANVI JAYANTI PATEL Vice President 855-745-5725 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2025-09-29 |
| Last Update Date | 2025-09-29 |