| NPI | 1104112366 |
|---|---|
| Doing Business As | MAVIS O PHARMACY |
| Entity Type | Organization |
| Authorized Contact | BAYO ADENIYI PIC 281-498-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27514) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2015-09-04 |