NPI | 1154909323 |
---|---|
Doing Business As | CHN PHARMACY #300 |
Entity Type | Organization |
Authorized Contact | BRANDY SMITH Credentialing Coordinator 281-824-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
3336H0001X Pharmacy, Home Infusion Therapy Pharmacy | |
3336S0011X Pharmacy, Specialty Pharmacy | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-01-08 |