NPI | 1336539584 |
---|---|
Doing Business As | VERDE PHARMACY |
Entity Type | Organization |
Authorized Contact | OSARU OKORO Owner /PIC 817-937-6413 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
Enumeration Date | 2015-01-27 |
Last Update Date | 2019-04-19 |