| NPI | 1871891325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARATH CHANDRA VEMUGANTI President 786-223-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030804) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2024-08-26 |