NPI | 1336515220 |
---|---|
Doing Business As | BOERNE DRUG COMPANY |
Entity Type | Organization |
Authorized Contact | TIFFANY RICHARD PIC/Owner 337-288-7687 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 30140) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2015-08-14 |
Last Update Date | 2016-05-09 |