NPI | 1083807697 |
---|---|
Doing Business As | REASOR'S PHARMACY #918 |
Entity Type | Organization |
Authorized Contact | NEIL DUCOTE VP Pharmacy 903-600-1376 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
3336C0004X Pharmacy, Compounding Pharmacy | |
Enumeration Date | 2007-08-27 |
Last Update Date | 2022-07-13 |