NPI | 1093956062 |
---|---|
Doing Business As | LSCC GEORGETOWN PHARMACY- WILLIAMS DRIVE |
Entity Type | Organization |
Authorized Contact | RHONDA MUNDHENK CEO 512-686-0152 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 26364) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2009-03-20 |
Last Update Date | 2017-02-20 |