Organization
MST MANAGEMENT, LLC
Active
Other names
vidapharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NIKHIL TAILOR PHARMD (OWNER)
(843) 267-8739
Entity
Organization
Contact information
Practice address
4438 THE PLZ STE D, CHARLOTTE, NC 28215-2188
(704) 837-4410
(980) 256-3419
Mailing address
4438 THE PLZ STE D, CHARLOTTE, NC 28215-2188
(704) 837-4410
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00439594
—
NC
Enumeration date
06/28/2023
Last updated
06/09/2025
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