| NPI | 1164518163 |
|---|---|
| Doing Business As | EAST TEXAS BEHAVIORAL HEALTHCARE NETWORK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | TED ZIESCHANG Director Of Pharmacy 936-634-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336M0002X Pharmacy, Mail Order Pharmacy (Licence: TX 22928) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2019-04-30 |