NPI | 1205228376 |
---|---|
Doing Business As | CENTRX PHARMACY AT TEXOMA |
Entity Type | Organization |
Authorized Contact | MARVIN PEMBER CEO 610-302-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 29773) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2020-10-27 |