| NPI | 1124013131 |
|---|---|
| Doing Business As | MEDPLUS LONG TERM CARE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVASU VATTI Officer 210-868-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 15212) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2021-11-10 |