| NPI | 1013081546 |
|---|---|
| Doing Business As | BROOKHAVEN APOTHECARY & SURGICAL SHOP |
| Entity Type | Organization |
| Authorized Contact | NDUFOLA KIGHAM CEO 972-620-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27042) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2014-06-24 |