| NPI | 1356366207 |
|---|---|
| Doing Business As | SERVICE DRUG OF MIDLAND |
| Entity Type | Organization |
| Authorized Contact | JOHN DAVIS PIC 432-682-2519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 22694) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-07-06 |