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 |