NPI | 1245554583 |
---|---|
Doing Business As | LSCC A&M PHARMACY |
Entity Type | Organization |
Authorized Contact | RHONDA MUNDHENK CEO 512-686-0152 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: TX 26802) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2010-03-16 |
Last Update Date | 2017-02-21 |