| NPI | 1942923974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINESH PATEL Pharmacist 385-855-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2023-01-19 |