| NPI | 1215476395 |
|---|---|
| Doing Business As | HAECKERVILLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | WAYLON HAECKER Owner/PIC/AO 281-915-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31288) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2024-05-07 |