| NPI | 1073712329 |
|---|---|
| Doing Business As | BOARDWALK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DAVID DEEMS Managing Partner 972-258-7499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25599) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2019-11-25 |