NPI | 1003119090 |
---|---|
Doing Business As | MONTE CRISTO PHARMACY STORE 2 |
Entity Type | Organization |
Authorized Contact | PABLO ENRIQUEZ FONSECA PIC/ Owner 956-380-6565 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2010-12-13 |
Last Update Date | 2010-12-13 |