Organization
JAI SIDDHI VINAYAK INC.
Active
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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