| NPI | 1245569201 |
|---|---|
| Doing Business As | WACO FAMILY MEDICINE - PHARMACY #2 |
| Entity Type | Organization |
| Authorized Contact | MATTHEW POLK Chief Operating Officer 254-313-4412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2025-07-02 |