| NPI | 1023684495 |
|---|---|
| Doing Business As | MEDSOURCE ESSENTIALS GROUP |
| Entity Type | Organization |
| Authorized Contact | JOE MITCHELL Owner/PIC 832-392-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| 3336M0002X Pharmacy, Mail Order Pharmacy | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-08-02 |