NPI | 1053487710 |
---|---|
Doing Business As | REASOR'S PHARMACY #913 |
Entity Type | Organization |
Authorized Contact | NEIL DUCOTE VP Pharmacy 903-600-1376 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2006-11-27 |
Last Update Date | 2022-07-13 |