NPI | 1114948189 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES MCLAUGHLIN Owner PIC 254-680-4298 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Additional Taxonomies | 333600000X Pharmacy (Licence: TX 21898) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2025-09-11 |