Organization
JAI SIDDHI VINAYAK INC.
Active
Other names
MLK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAI SIDDHI VINAYAK RPH (PHARMACY MANAGER)
(336) 722-0077
Entity
Organization
Contact information
Practice address
1489 NEW WALKERTOWN RD, WINSTON SALEM, NC 27101-3319
(336) 722-0077
(336) 722-0051
Mailing address
1489 NEW WALKERTOWN RD, WINSTON SALEM, NC 27101-3319
(336) 722-0077
(336) 722-0051
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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