| NPI | 1205933041 |
|---|---|
| Doing Business As | COUNTRY PLACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CHAU PHAN President 832-524-5427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 25799) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-09-12 |