| NPI | 1962809475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUSHAR PALAN President 855-633-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy (Licence: FL PH28725) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |