| NPI | 1144669094 |
|---|---|
| Doing Business As | D/B/A PECAN PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LIZYAMMA A BOSE President 281-565-5921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: TX 28578) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2013-06-24 |