| NPI | 1851005722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADERA ABU MAHFOUD Pharmacist In Charge 317-523-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy Compounding Pharmacy |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |