| NPI | 1275532509 |
|---|---|
| Doing Business As | LYNDON BAINES JOHNSON GENERAL HOSPITAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | VICTORIA NIKITIN EVP, CFO 346-426-0462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: TX 00557) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2024-11-21 |