| NPI | 1104370659 |
|---|---|
| Doing Business As | GOOSE CREEK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY TERRY PIC/Sole Owner/AO 281-838-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30867) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2018-07-19 |