NPI | 1205062445 |
---|---|
Doing Business As | AZTECA PHARMACY #2 |
Entity Type | Organization |
Authorized Contact | GEORGE BALANDRAN Pharmacist In Charge 832-607-7452 |
Organization Subpart ? | No |
Primary Taxonomy | 333600000X Pharmacy (Licence: TX 26490) |
Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
Enumeration Date | 2009-06-02 |
Last Update Date | 2009-06-19 |