| NPI | 1285656215 |
|---|---|
| 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 | 3336C0003X Pharmacy Community/Retail Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-12-11 |