NPI | 1033185186 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN P DEHAEMERS Dir, Pharmacist In Charge 959-299-2941 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: MO 2003001979) |
Enumeration Date | 2006-02-28 |
Last Update Date | 2023-03-07 |