| NPI | 1124323605 |
|---|---|
| Doing Business As | SOUTH MASON ROAD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA DAVIS Pharmacy In Charge 281-829-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 27314) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-02-22 |