| NPI | 1114693470 |
|---|---|
| Former Legal Business Name | MEDTRIX PHARMACEUTICAL WHOLESALE DISTRIBUTION INC |
| Entity Type | Organization |
| Authorized Contact | DELPHINA C MITIMA-SAMUEL President 409-350-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |