Mukta LLC
NPI #1790210839 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1790210839
- Entity Type
- Organization
- Organization Name
- Mukta LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 26, 2017
- Last Updated
- Mar 10, 2022
Practice Location
- Address
- 1103 N MAIN ST STE E
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-1336
- Phone
- (864) 210-1811
Authorized Official
- Name
- ASHISH B PATEL, RPH
- Title
- PIC
- Phone
- (864) 210-1811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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