| NPI | 1104121235 |
|---|---|
| Doing Business As | BEAR CREEK PHARMACY LLC |
| Entity Type | Organization |
| Authorized Contact | HENRY SIMO Owner/PIC 817-562-4766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27405) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2019-10-03 |