| NPI | 1346386968 |
|---|---|
| Doing Business As | MAIN ST. PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SARA LUMMUS Corp Officer 325-658-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: TX 27017) |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-01-18 |