| NPI | 1033592456 |
|---|---|
| Doing Business As | GASTON PHARMACY #1 |
| Entity Type | Organization |
| Authorized Contact | MICHAEL IRIZARRY Operations Manager 469-466-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30053) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-12-21 |