NPI | 1124539531 |
---|---|
Doing Business As | MARKET STREET PHARMACY #685 |
Entity Type | Organization |
Authorized Contact | TIM PURSER Director Of Pharmacy 806-791-8113 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 31775) |
Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Enumeration Date | 2017-10-12 |
Last Update Date | 2018-06-07 |