| NPI | 1972311579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMESHKUMAR PATEL Officer In Charge Of Licensing 855-844-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy |
| Enumeration Date | 2024-12-28 |
| Last Update Date | 2024-12-28 |