NPI | 1265947303 |
---|---|
Doing Business As | GOOD LIFE PHARMACY #2 |
Entity Type | Organization |
Authorized Contact | RIYAD A HASANALI Managing Member 210-819-4515 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 31706) |
Enumeration Date | 2017-12-12 |
Last Update Date | 2017-12-12 |