NPI | 1174328124 |
---|---|
Doing Business As | LTC WILLOWBROOK PHARMACY |
Entity Type | Organization |
Authorized Contact | STEVEN DONNELLY President 210-441-2036 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2025-02-14 |
Last Update Date | 2025-02-14 |