| NPI | 1063601540 |
|---|---|
| Doing Business As | FONDREN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LORANDO HELLEN Owner 832-228-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 22499) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2008-07-31 |