| NPI | 1851816466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA AHMAD Pharmacist In Charge 844-727-5007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31498) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31498) |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: TX 31498) | |
| 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TX 31498) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |