NPI | 1184078024 |
---|---|
Doing Business As | ADVANCED CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | TAMMIE MISKIMINS Manager, Pharmacy Licensing/Contrac 817-572-0009 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: AL 114611) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2016-04-18 |
Last Update Date | 2016-06-29 |