NPI | 1285656215 |
---|---|
Doing Business As | LTC RX |
Entity Type | Organization |
Authorized Contact | W DAVID SPENCE President 979-849-3001 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: TX 24288) |
Additional Taxonomies | 333600000X Pharmacy |
3336C0003X Pharmacy Community/Retail Pharmacy | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2009-12-11 |