NPI | 1174065643 |
---|---|
Doing Business As | GALVESTON SPECIALTY PHARMACY |
Entity Type | Organization |
Authorized Contact | PREM KALIDINDI Officer 917-769-8014 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31265) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2016-11-15 |
Last Update Date | 2019-12-13 |