| NPI | 1245940386 |
|---|---|
| Doing Business As | METHODIST HOSPITALS SOUTHLAKE OUTPATIENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOYLE President & CEO 219-886-4432 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |