| NPI | 1356076848 |
|---|---|
| Doing Business As | MCH PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RUSSELL TIPPIN CEO 432-640-2402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-11-04 |