| NPI | 1063574952 |
|---|---|
| Doing Business As | ENCORE PHARMACY #31 |
| Entity Type | Organization |
| Authorized Contact | NICKY L OTTS President, Managing Officer 817-239-6516 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26405) |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: TX 26405) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-03-08 |