| NPI | 1104321371 |
|---|---|
| Doing Business As | SHADOW CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | KWAME ALBERT Owner 832-617-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2019-05-21 |