| NPI | 1942903257 |
|---|---|
| Doing Business As | ROOSEVELT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | AESHA VORA Pharmacy Manager 980-505-5383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |