NPI | 1013386663 |
---|---|
Doing Business As | MOUNTAIN LAUREL COMMUNITY PHARMACY |
Entity Type | Organization |
Authorized Contact | MICHAEL BROWN Vice President, Managed Services 281-749-4764 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: MD P06891) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-09-24 |
Last Update Date | 2024-04-25 |