| NPI | 1154459352 |
|---|---|
| Doing Business As | HERITAGE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAMU GUNDA Secretary 817-741-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25421) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-01-20 |