| NPI | 1104823582 |
|---|---|
| Doing Business As | KINGS COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ROBIN JOHNSON President 806-358-4576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 4755) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2016-09-09 |